Ultrasonic diagnostics of vascular complications after laser procedures

A clinical case of treatment of rosacea with a high-intensity laser at different stages, performed under control of high-resolution ultrasound (HRU), is presented. According to clinical guidelines, patients in the erythematous stage of rosacea (stage I) undergo selective coagulation of superficial v...

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Main Author: I. N. Bondarenko
Format: Article
Language:English
Published: Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1 2021-12-01
Series:Инновационная медицина Кубани
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Online Access:https://www.innovmedkub.ru/jour/article/view/471
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author I. N. Bondarenko
author_facet I. N. Bondarenko
author_sort I. N. Bondarenko
collection DOAJ
description A clinical case of treatment of rosacea with a high-intensity laser at different stages, performed under control of high-resolution ultrasound (HRU), is presented. According to clinical guidelines, patients in the erythematous stage of rosacea (stage I) undergo selective coagulation of superficial vessels with a neodymium laser. Diagnosis and determination of the severity of the disease are carried out based on the presence of primary and secondary elements of the rash. There are no criteria for ultrasound assessment of the skin and its vascularization in patients with rosacea. During ultrasound examination after 4 laser procedures in B-mode, the dermis is heterogeneous due to hypoechoic papillary and hyperechoic reticular layers, without signs of infiltrative changes, in the color Doppler mapping mode there is a pronounced vascularization of the papillary dermis in the area of interest, represented by multiple vessels in contrast to single vascular structures seen on ultrasound after two laser treatments. According to the results of ultrasound examination, a more severe degree of the disease was diagnosed, which served as the basis for prescribing therapy with systemic retinoids. Clinical observation demonstrates the capabilities of ultrasound in planning laser procedures in order to reduce the risk of complications, their early diagnosis and monitoring of treatment if they occur.
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spelling doaj-art-d13cadf2eee54cd1aa236531fb7c11da2025-08-20T03:47:32ZengScientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1Инновационная медицина Кубани2541-98972021-12-0104586210.35401/2500-0268-2021-24-4-58-62306Ultrasonic diagnostics of vascular complications after laser proceduresI. N. Bondarenko0Central Research Institute of Radiation DiagnosticsA clinical case of treatment of rosacea with a high-intensity laser at different stages, performed under control of high-resolution ultrasound (HRU), is presented. According to clinical guidelines, patients in the erythematous stage of rosacea (stage I) undergo selective coagulation of superficial vessels with a neodymium laser. Diagnosis and determination of the severity of the disease are carried out based on the presence of primary and secondary elements of the rash. There are no criteria for ultrasound assessment of the skin and its vascularization in patients with rosacea. During ultrasound examination after 4 laser procedures in B-mode, the dermis is heterogeneous due to hypoechoic papillary and hyperechoic reticular layers, without signs of infiltrative changes, in the color Doppler mapping mode there is a pronounced vascularization of the papillary dermis in the area of interest, represented by multiple vessels in contrast to single vascular structures seen on ultrasound after two laser treatments. According to the results of ultrasound examination, a more severe degree of the disease was diagnosed, which served as the basis for prescribing therapy with systemic retinoids. Clinical observation demonstrates the capabilities of ultrasound in planning laser procedures in order to reduce the risk of complications, their early diagnosis and monitoring of treatment if they occur.https://www.innovmedkub.ru/jour/article/view/471ultrasonic examinationlaser resurfacingnd:yagnd laserrosaceavessels removal
spellingShingle I. N. Bondarenko
Ultrasonic diagnostics of vascular complications after laser procedures
Инновационная медицина Кубани
ultrasonic examination
laser resurfacing
nd:yag
nd laser
rosacea
vessels removal
title Ultrasonic diagnostics of vascular complications after laser procedures
title_full Ultrasonic diagnostics of vascular complications after laser procedures
title_fullStr Ultrasonic diagnostics of vascular complications after laser procedures
title_full_unstemmed Ultrasonic diagnostics of vascular complications after laser procedures
title_short Ultrasonic diagnostics of vascular complications after laser procedures
title_sort ultrasonic diagnostics of vascular complications after laser procedures
topic ultrasonic examination
laser resurfacing
nd:yag
nd laser
rosacea
vessels removal
url https://www.innovmedkub.ru/jour/article/view/471
work_keys_str_mv AT inbondarenko ultrasonicdiagnosticsofvascularcomplicationsafterlaserprocedures