Poikilodermia civatte – treatment with IPL pulsed light

Abstract

First described by the French dermatologist Civatte in 1923, poikiloderma is a chronic, benign skin condition characterized by changes in color through the area of hyper/hypopigmentation and dilatation of capillaries in the skin. It is most often found among middle-aged women, characterized by hyperpigmented macules alternating with areas of hypopigmentation located on the face and side of the neck. Specific to this condition is the presence of normal-colored skin under the chin in the form of a triangle. It is asymptomatic, but a person can feel slight sensations of burning, itching, and erythema of the skin in this area. There is no unanimous cause for this disease, but they can be specified according to long and cumulative exposure to the sun, lighter colored skin, photosensitizing components of some cosmetics, and perfumes; hormonal change related to premenopause or menopause; genetic predisposition. There are many topical treatment methods: local retinoids, hydroquinone, alpha hydroxy acids, pulsed light treatment, but also the permanent use of products with sun protection 50+, both during the summer and throughout the year. Also physical protection, high-collared coats, wide-brimmed hats. Objective: to evaluate the effectiveness of Intense Pulsed Light (IPL) treatment in a patient with poikiloderma of Civatte. Case presentation Present the case of a 52-year-old woman. Results We observe signs of photoaging, represented by uneven color on the face, accompanied by hypopigmented and hyperpigmented macules on the face up to the mandibular line, telangiectasias around the nose, and the area of the cheekbones. IPL pulsed light treatment was performed, a course of 4 procedures, 1 procedure once every 4 weeks. Have used diverse filter wavelengths between 640-515 nm. SPF 50+ cream was used throughout the treatment period, as well as after. Conclusions IPL treatment is the best treatment method for Civatte poikiloderma. It is non-invasive, painless, and does not require a rehabilitation period.