{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T18:34:13Z","timestamp":1786991653832,"version":"build-2736575974"},"reference-count":50,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Photobiomodulation, Photomedicine, and Laser Surgery"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Keloids and hypertrophic scars appear more frequently in people with darker skin tones, such as those of African, Asian, or Hispanic descent. The combination of CO\n                      <jats:sub>2<\/jats:sub>\n                      laser, pulsed dye laser (PDL), and triamcinolone was successful in treating a keloid.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>\n                      The purpose of this research was to assess the clinical efficacy of a multi-modal treatment protocol comprising a 595 nm PDL, fractional ablative CO\n                      <jats:sub>2<\/jats:sub>\n                      laser, 1540 nm nonablative laser, and intralesional corticosteroid injections for keloid management in Indian patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 30 patients with keloids were treated with a combination of two different lasers (595 nm pulsed\/10,600 nm and 1540 nm fractional laser) and intralesional steroids injections. Clinical images were collected before treatment and at 9 months after the last treatment, and adverse effects were monitored throughout the study. Patients were assessed with the Detroit Keloid Scale before treatment and at follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      After completing treatments, almost all patients showed improvement; in particular, a decrease in redness was noted, and the keloids appeared flatter. This improvement was also recorded through the Detroit Keloid Scale, where a significant 6-point decrease on the scale was recorded between baseline and follow-up (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This combined therapy is a good option for people with darker skin tones since it has been proven as an effective tool for managing keloid, especially for enhancing texture and decreasing redness with a lower risk of postinflammatory hyperpigmentation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/25785478251381984","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T16:34:01Z","timestamp":1768840441000},"page":"551-558","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Effectiveness of a Multi-Modal Strategy Involving Laser Therapy and Steroid Injections for the Treatment of Keloids in Patients with Darker Skin Phototypes: A Case Series"],"prefix":"10.1177","volume":"43","author":[{"given":"Swapnil","family":"Shah","sequence":"first","affiliation":[{"name":"Department of Dermatology, Venereology &amp; Leprosy, Ashwini Rural Medical College Hospital and Research Center, Solapur, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Inamdar","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy, Shri B M Patil Medical College, Hospital and Research Center, BLDE (Deemed to be University), Vijayapur, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Pieri","sequence":"additional","affiliation":[{"name":"El.En. 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