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Geisler AN, Eber A, Kim K, Arndt KA. Lasers for the treatment of eyebrow microblading and cosmetic tattoo pigment: a review of the literature. Lasers Med Sci 2023; 38:256. [PMID: 37932517 DOI: 10.1007/s10103-023-03921-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 10/24/2023] [Indexed: 11/08/2023]
Abstract
We aim to discuss the use of laser for the treatment of eyebrow microblading and cosmetic tattoo complications through a review of the literature. Our research question is whether quality-switched or picosecond laser is superior for the removal of eyebrow tattoos. This structured review was conducted using a PubMed search using the search terms "laser tattoo removal" AND "cosmetic tattoo" AND "eyebrow" with the article type filtered to "case reports," "clinical trial," and "randomized controlled trial" ranging from dates 1994-2023. All case reports or series evaluating the effect of laser on eyebrow cosmetic tattooing pigment were included. We summarize the results of 11 studies evaluating the use of laser for cosmetic tattoo removal, with 129 patients treated specifically for eyebrow pigment. Most studies (8/11) report Fitzpatrick skin type or race. Seven studies utilize quality-switched (QS) neodymium-doped yttrium aluminum garnet (Nd:YAG), alexandrite or ruby, three used picosecond (PS) Nd:YAG or alexandrite, and three used carbon dioxide (CO2) laser. We report laser energy, spot size, and pulse duration, as well as treatment outcomes and adverse events. Historically, methods of pigment removal included dermabrasion, cryosurgery, electrosurgery, radiofrequency, infrared light, intense pulsed light, and surgical excision; however, these methods often led to poor cosmetic outcomes including scarring and further dyspigmentation. QS laser treatments provided superior cosmetic outcomes and thus were considered the gold standard treatment option for pigment removal. However, the advent of PS lasers has challenged this given their increased selectivity, lower fluence requirements, and reduction in surrounding thermal damage. Our review demonstrates that PS Nd:YAG is quicker and more effective that QS Nd:YAG in the treatment of eyebrow tattoos. Additionally, the paradoxical darkening seen with QS lasers is less common with PS lasers. We also demonstrate that CO2 laser may be a helpful adjunct to QS or PS laser. This review focuses on Fitzpatrick skin type and race, providing a unique perspective on the use of laser treatment in skin of color, which often poses an additional treatment challenge.
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Affiliation(s)
- Amaris N Geisler
- Department of Dermatology, Emory University, 1525 Clifton Road NE, 3rd Floor, Atlanta, GA, 30322, USA.
| | | | - Karen Kim
- Skin Care Physicians, Boston, MA, USA
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Kerure AS, Marwah M, Wagh ND, Udare S. Micropigmentation. Indian Dermatol Online J 2023; 14:605-610. [PMID: 37727553 PMCID: PMC10506827 DOI: 10.4103/idoj.idoj_767_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 03/19/2023] [Accepted: 03/21/2023] [Indexed: 09/21/2023] Open
Abstract
Micropigmentation and microblading is a popular technique now a days which is used as a semi permanent method for camoflaging various dermatological indications. This article will elaborate upon various indications of micropigmenation. Micropigmentation is used in variety of dermatological conditions like semi permanent make up and vitiligo (stable forms). In this technique, a thorough knowledge of the indication and colour theory is crucial to achieve near to natural output. Micropigmentation or medical tattooing is a novel and easy to learn technique to camouflage various dermatological conditions like stable vitiligo, alopecia (androgenetic alopecia or stable alopecia areata) as well as for semi permanent make up.
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Affiliation(s)
- Amit S. Kerure
- Department of Dermatology, Dr. Amit Kerure Skin Clinic, Navi Mumbai, Maharashtra, India
| | - Manjot Marwah
- Department of Dermatology, National Hair Clinic, Hamirpur, Himachal Pradesh, India
| | - Nitika Deshmukh Wagh
- Department of Dermatology, Honorary Consultant, Deenanath Mangeskar Hospital and Private Practioner, Pune, India
| | - Satish Udare
- Department of Dermatology, Sparkle Skin Clinic, Navi Mumbai, India
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Vitiligo Treatments: Review of Current Therapeutic Modalities and JAK Inhibitors. Am J Clin Dermatol 2023; 24:165-186. [PMID: 36715849 DOI: 10.1007/s40257-022-00752-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/19/2022] [Indexed: 01/31/2023]
Abstract
Vitiligo is a chronic autoimmune disease characterized by loss of pigment of the skin, affecting 0.5-2% of the population worldwide. It can have a significant impact on patients' quality of life. In recent years, there has been significant progress in our understanding of the pathogenesis of vitiligo. It is believed that vitiligo develops due to a complex combination of genetics, oxidative stress, inflammation, and environmental triggers. Conventional treatments include camouflage, topical corticosteroids, topical calcineurin inhibitors, oral corticosteroids, phototherapy, and surgical procedures, with the treatment regimen dependent on the patient's preferences and characteristics. With increased understanding of the importance of the Janus kinase (JAK)/signal transducer and activator of transcription (STAT) pathway in the pathogenesis of vitiligo, treatment has expanded to include the first US FDA-approved cream to repigment patients with vitiligo. This review summarizes our understanding of the major mechanisms involved in the pathogenesis of vitiligo and its most common available treatments.
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Microneedle patch tattoos. iScience 2022; 25:105014. [DOI: 10.1016/j.isci.2022.105014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 07/24/2022] [Accepted: 08/19/2022] [Indexed: 11/20/2022] Open
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Tyerman C, Shepherd L, De Boos D, Tickle A. Experiences of medical tattooing in women following burn injuries: An interpretative phenomenological analysis. Burns 2021; 48:1435-1444. [PMID: 34893373 DOI: 10.1016/j.burns.2021.08.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 08/13/2021] [Accepted: 08/20/2021] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Physical changes to appearance caused by burn injuries can have significant psychological consequences. Medical tattooing is an intervention aimed at restoring appearance but little is known about the experiences of patients or the psychological impact of medical tattooing following burns. This study aimed to explore burn patients' psychological experiences of medical tattooing. METHOD In-depth interviews were conducted with eight adult women who had experienced a burn injury and subsequently undergone medical tattooing. RESULTS Using interpretative phenomenological analysis (IPA) to analyse the verbatim transcripts of interviews, two subordinate themes ('Management of Hope' and 'The Medical Tattooing Process') and one superordinate theme ('Impact of Medical Tattooing: 'Normal-ish is Fantastic'') emerged, which were set within a broader context of another superordinate theme: 'Inner Conflict about Acceptability of Perceived Need'. The findings suggested that medical tattooing is experienced positively, may have positive psychological consequences, and may allow women to regain a sense of normality and an improved sense of being acceptable in society following burn injuries. Findings additionally highlighted a conflicting narrative of a pressure to conform to certain expectations of appearance, alongside a sense that a desire to meet these expectations may also not be viewed as important, acceptable or legitimate. CONCLUSIONS Medical tattooing may be a potentially valuable intervention psychologically, although support and information seem important and further research is required.
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Affiliation(s)
- Catherine Tyerman
- Doctorate of Clinical Psychology, School of Medicine, University of Nottingham, YANG Fujia Building, B Floor, Jubilee Campus, Wollaton Road, Nottingham, NG8 1BB, United Kingdom
| | - Laura Shepherd
- Nottingham University Hospitals NHS Trust, Department of Clinical Psychology & Neuropsychology, Queens Medical Centre Campus, Derby Road, Nottingham, NG7 2UH, United Kingdom.
| | - Danielle De Boos
- Doctorate of Clinical Psychology, School of Medicine, University of Nottingham, YANG Fujia Building, B Floor, Jubilee Campus, Wollaton Road, Nottingham, NG8 1BB, United Kingdom
| | - Anna Tickle
- Doctorate of Clinical Psychology, School of Medicine, University of Nottingham, YANG Fujia Building, B Floor, Jubilee Campus, Wollaton Road, Nottingham, NG8 1BB, United Kingdom
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Sharma A, Agrawal S, Dhurat R, Mhatre M, Surve R, Kerure A. Micropigmentation-A revived therapeutic tool for recalcitrant, difficult-to-treat periungual vitiligo. Dermatol Ther 2020; 33:e13568. [PMID: 32401406 DOI: 10.1111/dth.13568] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2020] [Accepted: 05/09/2020] [Indexed: 12/01/2022]
Affiliation(s)
- Aseem Sharma
- Department of Dermatology, LTM General Hospital, Mumbai, Maharashtra, India
| | - Sandip Agrawal
- Department of Dermatology, LTM General Hospital, Mumbai, Maharashtra, India
| | - Rachita Dhurat
- Department of Dermatology, LTM General Hospital, Mumbai, Maharashtra, India
| | | | - Ravina Surve
- Department of Dermatology, LTM General Hospital, Mumbai, Maharashtra, India
| | - Amit Kerure
- Amit Kerure Skin Clinic, Navi Mumbai, Maharashtra, India
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Ju HJ, Eun SH, Lee HN, Lee JH, Kim GM, Bae JM. Micropigmentation for vitiligo on light to moderately colored skin: Updated evidence from a clinical and animal study. J Dermatol 2020; 47:464-469. [PMID: 32124487 DOI: 10.1111/1346-8138.15282] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2019] [Accepted: 02/03/2020] [Indexed: 12/12/2022]
Abstract
Micropigmentation, also termed medical tattooing, can be a useful alternative treatment for patients with vitiligo who are resistant to conventional treatments. To assess the benefits and risks of micropigmentation in the treatment of refractory vitiligo, 25 lesions of 14 patients with vitiligo (Fitzpatrick skin types III and IV) were subjected to micropigmentation using an electric tattooing machine between December 2018 and March 2019. The procedure was repeated until satisfactory results were obtained. Treatment response was assessed by color matching of the treated lesion and surrounding skin using a 4-point scale (poor, fair, good and excellent). Excellent color matching was achieved in 80% (20/25) of cases after a median of three (range, 1-5) treatment sessions. Procedure-associated pain was considerable, but no anesthetic injection was needed. Immediate erythema and swelling were noticed after each procedure, but resolved within a few days. Overall, the treatment was tolerable. This study was limited by a small sample, no control group and a short follow-up period. This study revealed that micropigmentation was beneficial for patients with refractory vitiligo who had light to moderately colored skin. Pigment selection, implantation depth and selection of body parts amenable to treatment were critical.
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Affiliation(s)
- Hyun Jeong Ju
- Department of Dermatology, St Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Sung Hye Eun
- Department of Dermatology, St Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Han Na Lee
- Department of Dermatology, St Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Ji Hae Lee
- Department of Dermatology, St Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Gyong Moon Kim
- Department of Dermatology, St Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Jung Min Bae
- Department of Dermatology, St Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
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Requena MB, Russignoli PE, Vollet-Filho JD, Salvio AG, Fortunato TC, Pratavieira S, Bagnato VS. Use of dermograph for improvement of PpIX precursor’s delivery in photodynamic therapy: Experimental and clinical pilot studies. Photodiagnosis Photodyn Ther 2020; 29:101599. [DOI: 10.1016/j.pdpdt.2019.101599] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Revised: 10/25/2019] [Accepted: 11/08/2019] [Indexed: 01/02/2023]
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Kar BR, Raj C. Suction Blister Epidermal Grafting for Vitiligo Involving Angles of Lip: Experience of 112 Patients. J Cutan Aesthet Surg 2018; 11:13-19. [PMID: 29731587 PMCID: PMC5921444 DOI: 10.4103/jcas.jcas_111_15] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Background: Lip vitiligo is usually resistant to medical modalities of treatment, and in all these cases, surgery offers a hope. Suction blister grafting (SBG) has been tried since long for lip vitiligo with high rate of success. There have been no long-term follow-up studies of patients with SBG at a difficult-to-treat site like angles of lip, which prompted us to conduct this study. Aims and Objectives: To assess the pigmentation rate and patient satisfaction of SBG on vitiligo involving angles of lip. Materials and Methods: This is a prospective study conducted on 112 patients with stable vitiligo involving angles of lip. SBG was carried out in all the patients using the standard procedure. Patients were advised to apply topical psoralen followed by sun exposure (PUVASOL) for 8–12 weeks after operation. The patients were followed up at 3, 6, 12, 18, and 24 months for assessment of pigmentation and overall satisfaction. Results: We found a pigmentation success rate of 83.7%, 84.9%, 85.7%, 78.3%, and 77.8% in the patients who were followed up at 3, 6, 12, 18, and 24 months, respectively. A total of 77.8% of patients who came for follow-up at the end of 24 months were very happy with the treatment. Discussion: Our data show clearance of vitiligo and persistence of pigmentation gained through SBG in 77.8% of cases at the end of 2 years as well as excellent patient satisfaction in the cohort of patients who followed up with us. Conclusion: SBG is an easy and cost-effective way of repigmentation of vitiligo involving angles of lip.
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Affiliation(s)
- Bikash R Kar
- Department of Dermatology, Venereology and Leprosy (DVL), Institute of Medical Sciences and SUM Hospital, Siksha 'O'Anusandhan University, Bhubaneswar, Odisha, India
| | - Chinmoy Raj
- Department of Dermatology, Venereology and Leprosy (DVL), Institute of Medical Sciences and SUM Hospital, Siksha 'O'Anusandhan University, Bhubaneswar, Odisha, India
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Yeates R, Rospigliosi E, Thompson AR. A mixed methods evaluation of medical tattooing for people who have experienced a burn injury. Scars Burn Heal 2018; 4:2059513118784721. [PMID: 30046457 PMCID: PMC6055245 DOI: 10.1177/2059513118784721] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION There are no existing studies examining the psychological merits of using facial medical tattooing (MT) following burn injury. This study evaluated an MT service supported by The Katie Piper Foundation. It examined accessibility, satisfaction and whether there were improvements in quality of life (QoL). METHODS Thirty-five service-users were invited to participate in a cross-sectional online survey. Twenty-five (71%) responded (24 women; age range = 21-64 years), and of these five (4 women; age range = 26-59 years) also participated in telephone interviews, which were analysed using descriptive thematic analysis. FINDINGS The service was largely considered easy to access (22/25) and convenient (25/25). Most service-users (22/25) were satisfied with the results of MT. Some areas of dissatisfaction were described, by a minority of service-users, including: the procedure being painful (1/25); the tattoo being below expectation or fading over time (3/25). The majority reported that MT had improved confidence (22/25); mood (19/25); and ability to socialise (19/25). The procedure improved some service-users' ability to carry out essential activities (14/25) and enjoyable activities (16/25). The qualitative responses provided during interview, indicated that all respondents found the procedure useful to their adjustment, although a minority (3/5) found it painful and also commented on fading (1/5). All described MT as contributing to a sense of increased normality. CONCLUSIONS MT had the largest impact on emotional wellbeing and interpersonal domains of QoL. MT services should now improve awareness of the procedure, lobby for further support to provide wider access to the procedure, and routinely use measures assessing psychosocial outcomes.
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Affiliation(s)
- Rebecca Yeates
- The Department of Clinical Psychology,
University of Sheffield, Cathedral Court, Floor F, 1 Vicar Lane, Sheffield S1 1HD,
UK. @DrARThompson
| | - Ezinna Rospigliosi
- The Katie Piper Foundation, PO Box 334,
19–21 Crawford Street, London W1H 1PJ, UK. @KPFoundation
| | - Andrew R Thompson
- The Department of Clinical Psychology,
University of Sheffield, Cathedral Court, Floor F, 1 Vicar Lane, Sheffield S1 1HD,
UK. @DrARThompson
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Drost BH, van de Langenberg R, Manusama OR, Janssens AS, Sikorska K, Zuur CL, Klop WMC, Lohuis PJFM. Dermatography (Medical Tattooing) for Scars and Skin Grafts in Head and Neck Patients to Improve Appearance and Quality of Life. JAMA FACIAL PLAST SU 2017; 19:16-22. [PMID: 27657879 DOI: 10.1001/jamafacial.2016.1084] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Importance Dermatography (medical tattooing) is often overlooked as an adjuvant procedure to improve color mismatch in the head and neck area, and its effect on patient satisfaction and quality of life has not been evaluated, to our knowledge. Objective To analyze the effect of dermatography on the subjective perception of the appearance of scars and skin grafts and the quality of life in head and neck patients. Design, Setting, and Participants Case series of patients undergoing dermatography at the Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, between July 1, 2007, and April 1, 2015. Participants were invited to respond to 2 questionnaires measuring their scar or graft appearance and their quality of life before and after dermatography as an adjuvant treatment for benign or malignant head and neck tumors. Intervention Use of dermatography. Main Outcomes and Measures Two questionnaires evaluating a visual analog scale score (range, 0-10) and multiple questions on a 5-point scale focusing on satisfaction with the appearance and the quality of life. Results Among 76 patients, 56 (74%) were included in the study. The mean (SD) age of the study cohort was 56.5 (16.0) years, and 42 (75%) were female. The mean improvement in scar or skin graft perception on the visual analog scale of the modified Utrecht Questionnaire for Outcome Assessment in Aesthetic Rhinoplasty before and after dermatography was 4 points. On the modified Patient Scar Assessment Questionnaire, uniform improvement of approximately 1 point across 9 questions was observed. The answers to all patient satisfaction and quality-of-life questions on both questionnaires improved significantly after dermatography. Conclusions and Relevance Dermatography is an effectual adjuvant procedure to improve the subjective perception of scar and skin graft appearance and the quality of life in head and neck patients. Level of Evidence 4.
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Affiliation(s)
- Brigitte H Drost
- Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam
| | - Rick van de Langenberg
- Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam2Center for Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Diakonessen Hospital, Utrecht, the Netherlands
| | - Olivia R Manusama
- Center for Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Diakonessen Hospital, Utrecht, the Netherlands
| | - A Soe Janssens
- Department of Dermatology, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam
| | - Karolina Sikorska
- Department of Biometrics, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam
| | - C Lot Zuur
- Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam
| | - Willem M C Klop
- Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam
| | - Peter J F M Lohuis
- Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam2Center for Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Diakonessen Hospital, Utrecht, the Netherlands
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Patel S, Rauf A, Khan H, Meher BR, Hassan SSU. A holistic review on the autoimmune disease vitiligo with emphasis on the causal factors. Biomed Pharmacother 2017; 92:501-508. [PMID: 28575807 DOI: 10.1016/j.biopha.2017.05.095] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2017] [Revised: 05/12/2017] [Accepted: 05/22/2017] [Indexed: 12/25/2022] Open
Abstract
Vitiligo is an idiopathic systemic autoimmune disease affecting skin, hair and oral mucosa. This genetic yet acquired disease characterized by melanin loss is a cause of morbidity across all races. Though thyroid disturbance has been recognized as a key trigger of this pathology, an array of other factors plays critical role in its manifestation. Multiple hormones (corticotropin-releasing hormone, adrenocorticotropic hormone, α-melanocyte-stimulating hormone, melatonin, calcitriol, testosterone, estrogen), genes (Human leukocyte antigen (HLA), Cytotoxic T lymphocyte-associated antigen 4 (CTLA-4), Forkhead box D3 (FOXD3), Cluster of differentiation 117 (CD117), Estrogen receptor (ESR) 1, Cyclooxygenase-2 (COX2), Vitiligo-associated protein 1 (VIT1)), and lifestyle choices (stress, diet, cosmetic products, and medications) have been suspected as drivers of this disorder. The pathological mechanisms have been understood in recent times, with the aid of genomic studies; however a universally-effective therapy is yet to be achieved. This review discusses these under-investigated facets of vitiligo onset and progression; hence, it is expected to enrich vitiligo research.
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Affiliation(s)
- Seema Patel
- Bioinformatics and Medical Informatics Research Center, San Diego State University, 5500 Campanile Dr, San Diego, 92182, USA.
| | - Abdur Rauf
- Department of Chemistry, University of Swabi, Anbar, 23561, K.P.K, Pakistan.
| | - Haroon Khan
- Department of Pharmacy, Abdul Wali Khan University, Mardan, 23200, Pakistan
| | - Biswa Ranjan Meher
- Centre for Life Sciences, Central University of Jharkhand, Brambe, Ranchi, 835205, Jharkhand, India
| | - Syed Shams Ul Hassan
- Department of Marine Chemistry and Natural Products, Ocean College, Zhejiang University, Hangzhou, 310058, PR China
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Boulart L, Mimoun M, Noel W, Malca N, Chaouat M, Boccara D. Dealing with tattoos in plastic surgery. Complications and medical use. ANN CHIR PLAST ESTH 2017; 62:e23-e29. [DOI: 10.1016/j.anplas.2016.09.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Accepted: 09/08/2016] [Indexed: 10/20/2022]
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Affiliation(s)
- Nicolas Kluger
- Departments of Dermatology, Allergology and Venereology, Institute of Clinical Medicine, University of Helsinki, Skin and Allergy Hospital, Helsinki University Central Hospital, Helsinki, Finland E-mail:
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Kim EK, Chang TJ, Hong JP, Koh KS. Use of tattooing to camouflage various scars. Aesthetic Plast Surg 2011; 35:392-5. [PMID: 21461628 DOI: 10.1007/s00266-011-9698-8] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2010] [Accepted: 02/28/2011] [Indexed: 11/29/2022]
Abstract
BACKGROUND Tattooing often is overlooked by plastic surgeons when treating scars. However, some scars are not apt for surgical scar revision and cannot be dramatically improved by laser treatment either. Tattooing can be considered as a simple alternative in such situations. METHODS The medical records of all the patients who underwent medical tattooing for causes other than routine nipple-areolar reconstruction between 2008 and 2010 were collected. Pre- and postoperative photographs were reviewed. RESULTS A total of 32 mature scars in 28 patients were treated with tattooing. The scars treated were mainly categorized as depigmented (skin or vermilion) or hairless. The median follow-up period was 14 months, and a retouch procedure was required in 31% of the cases. No significant complications developed, and the patients were generally satisfied. CONCLUSION Tattooing can be applied in treating scars when conventional methods are not indicated. It can be used for the alopecia scar of a patient who does not want a hair graft, for the depigmented scar that would not benefit dramatically from laser treatment, or as camouflage for a three-dimensional structure when surgical reconstruction is not feasible.
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Affiliation(s)
- Eun Key Kim
- Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
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Kluger N, Trouche F. Vitiligo sur tatouage. Ann Dermatol Venereol 2011; 138:549-50. [DOI: 10.1016/j.annder.2011.03.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2011] [Revised: 03/02/2011] [Accepted: 03/09/2011] [Indexed: 10/18/2022]
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