Laser Therapy for the Treatment of Hidradenitis Suppurativa:A Novel Appraoch
Nathan Eberle, DDS,MD1, Brian Boland, MD1, Eric Stelnicki, MD2.
1Cleveland Clinic Florida, Weston, FL, USA, 2Private Practice, Fort Lauderdale, FL, USA.
PURPOSE:Hidradenitis suppurativa(HS) is a complex disease affecting the apocrine glands. Traditional treatment involves any number of different types of medications with surgical treatment of medically uncontrollable disease as the final definitive treatment. Recently lasers and light-based therapies have been used to target hair follicles and their associated apocrine glands as a novel treatment. The advantage lasers offer is local treatment without significant systemic side effects, no drug resistance of antibiotics or chronic use of medications. We aim to show by treating the hair follicles with Nd:YAG laser, the collateral damage will be treatment the adjacent apocrine glands and HS.
METHODS:A retrospective chart review of 10 patients treated by the senior author with Nd:YAG laser for the treatment of HS was reviewed. Data was collected from exams and histological slides of treated areas.
RESULTS:Ten patients were treated over 3 years with 2-year follow-up. Patients received 6-10 treatments of Nd:YAG laser. 9/10 patients had complete resolution of disease with no other treatment. One had decreased symptoms without complete resolution. All displayed a decrease in disease after 2 treatments. None required surgery or antibiotic treatment once starting treatment. Histologic exam of treated areas displayed destruction of the apocrine glands.
CONCLUSION:In this case series, Nd:YAG laser treatment has shown to be a promising new treatment modality for the treatment of HS. This non-surgical treatment modality could drastically change the current treatment algorithm for this complicated disease while improving the quality of life for 1-2% of the population affected by this disease.
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