Physiotherapeutic approach in the treatment of rosacea. Modern approaches to the treatment of rosacea through the prism of pathogenesis

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Abstract

Rosacea is a chronic dermatological disorder characterized by recurrent inflammatory episodes and vascular alterations. One of the promising therapeutic approaches for this condition is light-based therapy, particularly the use of intense pulsed light (IPL) technology. This method has demonstrated significant efficacy in reducing the severity of vascular and inflammatory manifestations, while maintaining a favorable safety profile. Despite the well-established clinical effectiveness of IPL therapy in managing rosacea, optimization of treatment parameters remains an ongoing challenge. This article presents current evidence on the efficacy of IPL therapy for rosacea treatment, explores the pathogenesis and key procedural parameters of this method, and shares our experience with advanced technological solutions in this field.

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About the authors

Isita A. Khanalieva

I.M. Sechenov First Moscow State Medical University (Sechenov University); Russian Biotechnological University

Author for correspondence.
Email: doctor.khanalieva@mail.ru
ORCID iD: 0000-0003-4426-1934
SPIN-code: 7131-3022

Dermatologist, Cosmetologist, Plastic Surgeon, Ultrasound Doctor; assistant of the Department of Skin and Venereal Diseases

Russian Federation, Moscow; Moscow

Elena V. Svechnikova

Russian Biotechnological University; Polyclinic № 1 of the Administrative Directorate of the President of the Russian Federation

Email: doctor.khanalieva@mail.ru
ORCID iD: 0000-0002-5885-4872

Dr. Sci. (Med.), Professor of the Department of Skin and Venereal Diseases; Head of the Department of Dermatovenereology and Cosmetology

Russian Federation, Moscow; Moscow

Viktor V. Gladko

Russian Biotechnological University

Email: dr.gladko@mgupp.ru
ORCID iD: 0000-0003-3087-5038

Dr. Sci. (Med.), Professor, Head of the Department of Skin and Venereal Diseases with a Course in Cosmetology, Medical Institute of Continuous Education

Russian Federation, Moscow

Irina V. Izmaylova

Russian Biotechnological University

Email: izmajjlovaiv@mgupp.ru

Cand. Sci. (Med.), Associate Professor at the Department of Skin and Venereal Diseases with a Course in Cosmetology

Russian Federation, Moscow

References

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  2. Hofmann M.A., Lehmann P. Physical modalities for the treatment of rosacea. J Dtsch Dermatol Ges. 2016;14 Suppl 6:38–43. https://dx.doi.org/10.1111/ddg.13144
  3. Babilas P., Schreml S., Szeimies R.M., Landthaler M. Intense pulsed light (IPL): a review. Lasers Surg Med. 2010;42(2):93–104. https://dx.doi.org/10.1002/lsm.20877
  4. Martignago C.C.S., Bonifacio M., Ascimann L.T., et al. Efficacy and safety of intense pulsed light in rosacea: a systematic review. Indian J Dermatol Venereol Leprol. 2024;90:599–605. https://dx.doi.org/10.25259/IJDVL_1029_2022
  5. Liu J., Liu J., Ren Y., Li B., Lu S. Comparative efficacy of intense pulsed light for different erythema associated with rosacea. J Cosmet Laser Ther. 2014;16:324–327. https://dx.doi.org/10.3109/14764172.2014.957218
  6. Luo Y., Luan X.L., Zhang J.H., et al. Improved telangiectasia and reduced recurrence rate of rosacea after treatment with 540 nm-wavelength intense pulsed light: a prospective randomized controlled trial with a 2-year follow-up. Exp Ther Med. 2020;19:3543–3550. https://dx.doi.org/10.3892/etm.2020.8617
  7. Dinsdale G., Murray A., Moore T., et al. A comparison of intense pulsed light and laser treatment of telangiectases in patients with systemic sclerosis: a within-subject randomized trial. Rheumatol (Oxford). 2014;53:1422–1430. https://dx.doi.org/10.1093/rheumatology/keu006

Supplementary files

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2. Figure 1. Patient, 63 years old. Before treatment

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3. Figure 2. Patient, 63 years old. After treatment

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4. Figure 3. Patient, 63 years old. Before treatment

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5. Figure 4. Patient, 63 years old. After treatment

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6. Figure 5. Patient, 44 years old. Before treatment

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7. Figure 6. Patient, 44 years old. After treatment

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8. Figure 7. Patient, 44 years old. Before treatment

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9. Figure 8. Patient, 44 years old. After treatment

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