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AcnePublished by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2017AcnéPublished by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2017
Laser and light treatments
Evidence (low quality) suggests that red and blue light therapy may be useful for people with moderate to severe acne.[78]Barbaric J, Abbott R, Posadzki P, et al. Light therapies for acne. Cochrane Database Syst Rev. 2016 Sep 27;9(9):CD007917.
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007917.pub2/full
http://www.ncbi.nlm.nih.gov/pubmed/27670126?tool=bestpractice.com
[79]Boen M, Brownell J, Patel P, et al. The role of photodynamic therapy in acne: an evidence-based review. Am J Clin Dermatol. 2017 Jun;18(3):311-21.
http://www.ncbi.nlm.nih.gov/pubmed/28276005?tool=bestpractice.com
Results from studies of pulsed-dye laser therapy (yellow light) are inconsistent.[78]Barbaric J, Abbott R, Posadzki P, et al. Light therapies for acne. Cochrane Database Syst Rev. 2016 Sep 27;9(9):CD007917.
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007917.pub2/full
http://www.ncbi.nlm.nih.gov/pubmed/27670126?tool=bestpractice.com
Laser treatment, both ablative and nonablative, may be used to treat residual acne scarring.[80]Ong MW, Bashir SJ. Fractional laser resurfacing for acne scars: a review. Br J Dermatol. 2012 Jun;166(6):1160-9.
http://www.ncbi.nlm.nih.gov/pubmed/22296284?tool=bestpractice.com
One prospective, open-label, single-arm trial of the novel 1726 nm laser reported that approximately 87% of the trial participants demonstrated a ≥50% reduction in active acne inflammatory lesions at 26 weeks in patients with moderate to severe acne.[81]Alexiades M, Kothare A, Goldberg D, et al. Novel 1726 nm laser demonstrates durable therapeutic outcomes and tolerability for moderate-to-severe acne across skin types. J Am Acad Dermatol. 2023 Oct;89(4):703-10.
http://www.ncbi.nlm.nih.gov/pubmed/37328000?tool=bestpractice.com
Laser and light therapies are not routinely prescribed; more research is needed to evaluate their effectiveness and to determine any long-term adverse effects.
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