Follow-up of solar lentigo depigmentation with a retinaldehyde-based cream by clinical evaluation and calibrated colour imaging

Skin Res Technol. 2015 May;21(2):241-6. doi: 10.1111/srt.12182. Epub 2014 Jul 31.

Abstract

Background and objective: To assess an objective method evaluating the effects of a retinaldehyde-based cream (RA-cream) on solar lentigines; 29 women randomly applied RA-cream on lentigines of one hand and a control cream on the other, once daily for 3 months.

Methods: A specific method enabling a reliable visualisation of the lesions was proposed, using high-magnification colour-calibrated camera imaging. Assessment was performed using clinical evaluation by Physician Global Assessment score and image analysis. Luminance determination on the numeric images was performed either on the basis of 5 independent expert's consensus borders or probability map analysis via an algorithm automatically detecting the pigmented area.

Results: Both image analysis methods showed a similar lightening of ΔL* = 2 after a 3-month treatment by RA-cream, in agreement with single-blind clinical evaluation.

Conclusion: High-magnification colour-calibrated camera imaging combined with probability map analysis is a fast and precise method to follow lentigo depigmentation.

Keywords: chromametry; colorimetry [MeSH]; colour measurement; depigmenting agent; lentigo [MeSH]; skin ageing [MeSH]; skin imaging; skin-lightening agent; skin-lightening preparations [MeSH].

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Aged, 80 and over
  • Color
  • Colorimetry / methods
  • Dermoscopy / methods
  • Female
  • Humans
  • Lentigo / drug therapy*
  • Lentigo / pathology*
  • Middle Aged
  • Photography / methods*
  • Reproducibility of Results
  • Retinaldehyde / administration & dosage*
  • Sensitivity and Specificity
  • Skin Cream / administration & dosage*
  • Skin Lightening Preparations / administration & dosage*
  • Solar Energy
  • Treatment Outcome

Substances

  • Skin Lightening Preparations
  • Retinaldehyde