Objectives: To determine the efficacy of chemical peels for chickenpox scars.
Introduction: Chemical peel is a procedure resulting in controlled destruction of the epidermis, the dermis, or both. It's used for various dermatologic and cosmetic conditions, w/c includes treatment of skin scars. It causes regeneration and remodeling of skin leading to improved appearance and texture of the treated skin. Chickenpox is one of the main causes for developing atrophic scars which, when severe, may cause emotional trauma, impaired social function, and decreased quality of life. Scarring associated with chickenpox are generally difficult to treat and presents a therapeutic challenge.
Materials / method: Materials: Glycolic acid 70% solution, Trichloroacetic acid 20% solution,Hydrocortisone
Methods: Application of Glycolic acid 70% + Trichloroacetic acid 20% on chicken pox scars of one month duration, applied daily over face and neck for 3 consecutive days.Cold compresses(frozen milk)were applied on the 4th day onwards to hasten the peeling process.Hydrocortisone cream were applied to newly peeled off area.Tretinoin cream 0.25% applied at night ,sunscreen spf 50 in the morning.Patient was seen after 4 weeks.
Results: Results: 10 patients completed treatment. All patients showed marked improvement (>50-75%) after 1 month, with near complete clearance (>75%) after 6 months and onwards after last treatment. Adverse effects were mild and transient erythema .There was no hyper or hypo pigmentation and scarring noted.
Conclusion: Conclusion: Chemical peels, CROSS or full face application may prove to be a safe, efficient, easy, and low cost treatment, with moderate to high satisfaction rate for the treatment of chickenpox scars.
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