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Measurement Skin TemperatureDuring Pulsed Laser Exposure

This study is enrolling participants by invitation only.
Information provided by University of California, Irvine

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Descriptive Information Fields
Brief Title  Measurement Skin TemperatureDuring Pulsed Laser Exposure
Official Title  Measurement Skin Temperature During Pulsed Laser Exposure
Brief Summary

PURPOSE OF STUDY

During laser treatment of port wine stain skin, some light is converted to heat in the top part of the skin as opposed to the deeper port wine stain birthmark. The purpose of this study is to make temperature measurements of the skin during laser treatment to determine how much light is converted to heat in the top part of the skin as opposed to the deeper port wine stain birthmark. The flash lamp pumped pulsed dye laser (FLPDL) and Alexandrite laser are the FDA approved treatments of choice for PWS.

The conversion of light to heat in the top part of the skin can lead to permanent scarring or changes in the normal color or pigmentation of the skin. A possible way to avoid these complications of laser therapy is to cool the top part of the skin by the application of a cooling agent. Therefore, skin temperature measurements will also be made while a cooling agent is applied to the skin surface immediately before or during laser treatment.

Detailed Description

Procedure;

The study is to compare epidermal temperature measurements in PWS skin during: a) laser treatment at standard treatment energies (5-7 J/cm2); b) CSC plus laser treatment; and c) contact cooling plus laser treatment; d) make temperature measurements on normal human skin with and without cryogen spray cooling.

Port Wine Stain sites will be treated with the flash lamp pumped pulsed dye laser (FLPDL) or flash lamp excited long-pulse alexandrite laser (755 mm wavelength) without skin cooling at standard treatment fluences of 5-7 J/ cm2 in 0.5 J/ cm2 increments. Other adjacent sites will be treated with the same amount of light immediately after a short spray of a cooling agent.

Before, during, and after the laser pulses, epidermal temperatures will be measured. A compound germanium lens with unit magnification will image the infrared emission from the skin surface onto a 128x128 In Sb fast infrared focal plane array camera sensitive in the 3-5m spectral range with a temperature accuracy of 0.01C. Using white light flash from a camera to the study skin area making measurement as a means to get a quantitative assessment of Port Wine Stain color or redness.

Evaluated at each visit by searching for hypertrophic scarring, changes in skin pigmentation, atrophy or induration will be documented clinically, and by photography, and monitored until resolution.

Study Phase
Study Type  Observational
Study Design  Case-Only, Prospective
Primary Outcome Measure 
Secondary Outcome Measure 
Condition  Port Wine Stain Birthmark
Intervention  Device: Optical properties mesurement
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Enrolling by invitation
Enrollment  300
Start Date  July 2002
Completion Date July 2012
Eligibility Criteria 

Inclusion Criteria:

  • 7 years of age and older with diagnosis of port wine stain birthmark
  • 18 years of age and older with no port wine stain
  • non-pregnant women
  • apparent in good health

Exclusion Criteria:

  • age less than 7 years old
  • pregnant women
  • history of photodermatoses or skin cancer
  • current use of photosensitizing drugs
Gender Both
Ages 7 Years to 75 Years
Accepts Healthy Volunteers Yes
Contacts ††
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00540917
Organization ID RR-01192,AR-47551,AR-48458
Secondary IDs †† Candela Laser Corp, P41-RR01192;NIH-LAMMP
Study Sponsor  University of California, Irvine
Collaborators †† Beckman Laser Institute Medical Clinic
Investigators 
Principal Investigator:     John S Nelson, M.D.,Ph.D     Beckman Laser Institute Medical Clinic    
Information Provided By University of California, Irvine
Verification Date May 2008
First Received Date  October 4, 2007
Last Updated Date May 22, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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