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Dissecting Cellulitis Treated with the Long-Pulsed Nd:YAG Laser

2006; Lippincott Williams & Wilkins; Volume: 32; Issue: 8 Linguagem: Inglês

10.1111/j.1524-4725.2006.32227.x

1524-4725

Brett D. Krasner, Fasahat Hamzavi, George J. Murakawa, Iltefat Hamzavi,

Dermatologic Treatments and Research

Dermatologic SurgeryVolume 32, Issue 8 p. 1039-1044 Dissecting Cellulitis Treated with the Long-Pulsed Nd:YAG Laser BRETT D. KRASNER MD, BRETT D. KRASNER MD School of Medicine, Department of Dermatology, Wayne State University, Detroit, MichiganSearch for more papers by this authorFASAHAT H. HAMZAVI MD, FASAHAT H. HAMZAVI MD School of Medicine, Department of Dermatology, Wayne State University, Detroit, MichiganSearch for more papers by this authorGEORGE J. MURAKAWA MD, PhD, GEORGE J. MURAKAWA MD, PhD School of Medicine, Department of Dermatology, Wayne State University, Detroit, MichiganSearch for more papers by this authorILTEFAT H. HAMZAVI MD, ILTEFAT H. HAMZAVI MD Department of Dermatology, Henry Ford Hospital, Detroit, MichiganSearch for more papers by this author BRETT D. KRASNER MD, BRETT D. KRASNER MD School of Medicine, Department of Dermatology, Wayne State University, Detroit, MichiganSearch for more papers by this authorFASAHAT H. HAMZAVI MD, FASAHAT H. HAMZAVI MD School of Medicine, Department of Dermatology, Wayne State University, Detroit, MichiganSearch for more papers by this authorGEORGE J. MURAKAWA MD, PhD, GEORGE J. MURAKAWA MD, PhD School of Medicine, Department of Dermatology, Wayne State University, Detroit, MichiganSearch for more papers by this authorILTEFAT H. HAMZAVI MD, ILTEFAT H. HAMZAVI MD Department of Dermatology, Henry Ford Hospital, Detroit, MichiganSearch for more papers by this author First published: 17 August 2006 https://doi.org/10.1111/j.1524-4725.2006.32227.xCitations: 8 Address correspondence and reprint requests to: Iltefat Hamzavi, MD, Henry Ford Health System, 3031 West Grand Boulevard, Suite 800, Detroit, MI 48202, or e-mail: ihamzav1@hfhs.org Read the full textAboutPDF ToolsExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract BACKGROUND Dissecting cellulitis is a chronic inflammatory scalp condition characterized by pustular nodules, sinus tract formation, and resultant cicatricial alopecia. Current treatments are of limited efficacy. OBJECTIVE This report explored treating dissecting cellulitis with the long-pulsed Nd:YAG laser to determine the capabilities and limitations of this modality with respect to: (1) reducing pus formation; (2) enabling the termination of systemic treatments; (3) investigating the side-effect profile including dyspigmentation and scarring alopecia; and (4) terminating the disease process. METHODS This observational study followed four patients with long-standing dissecting cellulitis through consecutive treatments with the long-pulsed Nd:YAG laser without epidermal cooling. RESULTS One year after initiating laser treatment, patients achieved decreased pus formation, a reduced reliance on systemic treatments, and a controlled or terminated disease process without dyspigmentation. Three patients had regrowth of terminal hairs in treatment sites. CONCLUSION The long-pulsed Nd:YAG laser is effective in attenuating the progression of dissecting cellulitis without appreciable adverse cutaneous side effects. This is a pilot study, and more patients must be treated in other trials to verify these findings. Citing Literature Volume32, Issue8August 2006Pages 1039-1044 RelatedInformation