ArticleFrontiers in medicine2025
Application of dermoscopy for efficacy assessment and prognosis in laser treatment of vasodilator dermatosis.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Objective: Analyse dermoscopic image data before and after laser treatment for vasodilator dermatosis. Investigate its value in evaluating post-treatment efficacy and identifying factors predictive of complete lesion clearance in a single session. Methods: Patients undergoing laser treatment for vascular skin disorders in our department were selected. Dermoscopic images of the lesions were captured and the vascular characteristics within the dermoscopic field were recorded. One-month follow-up analyses assessed lesion clearance status and dermoscopic features in each patient. Results: This study included 18 patients (37 lesions in total). The total vascular feature scores before and after treatment were significantly different from the individual vascular scores. The single-session clearance rate at 1-month follow-up was 75.7% (28/37). Significant differences in scores were observed between the cleared and uncleared groups. Univariate and multivariate logistic analyses identified vascular color as an independent factor influencing lesion clearance. Calculating the Youden index showed that lesions with scores below 9.5 were more likely to be cleared in a single session. Conclusion: Prior to laser treatment, using a dermatoscope to comprehensively assess the characteristics of vascular structures provides an objective evaluation of the underlying vascular condition. This makes it possible to predict the likelihood of achieving complete clearance in a single session after laser therapy, providing insights into how to devise personalized treatment plans for patients. The clinical promotion and application of this method is eagerly awaited.
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