TY - JOUR T1 - Capillary Malformations Treated With Sequential Pulsed Dye and Nd:YAG Laser Therapy: A Retrospective Study JO - Actas Dermo-Sifiliográficas T2 - AU - Alcántara-González,J. AU - Boixeda,P. AU - Truchuelo-Díez,M.T. AU - Jiménez-Gómez,N. AU - Pérez-García,B. AU - Pérez-Carmona,L. AU - Jaén Olasolo,P. SN - 15782190 M3 - 10.1016/j.adengl.2017.12.010 DO - 10.1016/j.adengl.2017.12.010 UR - https://actasdermo.org/en-capillary-malformations-treated-with-sequential-articulo-S1578219017304237 AB - Introduction and objectiveCapillary malformations are the most common vascular malformations in childhood. The current treatment of choice is pulsed dye laser (PDL) therapy, but this frequently does not result in complete resolution. The search for alternative treatment strategies thus continues. In this study we describe our experience with the use of sequential dual-wavelength PDL and Nd:YAG laser therapy in patients with capillary malformations. Material and methodsWe conducted a retrospective, descriptive study of patients with capillary malformations treated with dual-wavelength PDL and Nd:YAG laser therapy between 2006 and 2011. Four dermatologists rated the effectiveness of treatment on a scale of 10 to 0. We also investigated the potential value of the following factors as predictors of better treatment response: sex, malformation size and color, and presence of associated hypertrophy. Adverse effects were also analyzed. ResultsWe studied 71 patients and most of them experienced a statistically significant improvement after treatment. More favorable responses were observed for violaceous malformations, lesions with associated hypertrophy, and smaller lesions. Adverse effects were reported for 26.76% of patients, and the most common effect was the appearance of isolated areas of skin atrophy. ConclusionsWe consider that sequential dual-wavelength PDL and ND:YAG laser therapy is an effective alternative for treating capillary malformations in selected patients. ER -