Absence of Koebnerization Following Ablative and Nonablative Laser Therapy in Patients With Plaque Psoriasis
| Autor: | Paul S. Yamauchi, Suzanne M. Sachsman, Vandana Madkan |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Combination therapy Dermatologic Surgical Procedures Dermatology Young Adult 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Psoriasis Humans Medicine Adverse effect Aged Retrospective Studies 030203 arthritis & rheumatology business.industry Incidence Medical record Incidence (epidemiology) Retrospective cohort study General Medicine Middle Aged medicine.disease medicine.anatomical_structure Scalp Disease Progression Surgery Laser Therapy business |
| Zdroj: | Dermatologic Surgery. 42:521-525 |
| ISSN: | 1076-0512 |
| DOI: | 10.1097/dss.0000000000000663 |
| Popis: | BACKGROUND The adverse effects of laser procedures performed in patients with psoriasis have not been reported to date. OBJECTIVE The authors report the incidence of koebnerization in patients with psoriasis who underwent laser treatment with different devices over the past 12 years. MATERIALS AND METHODS The medical records of 38 patients with psoriasis treated with laser therapy were reviewed. Patient characteristics, including duration and severity of psoriasis, baseline psoriasis treatment, laser modality and settings, facial areas treated, and number of sessions, were collected. The primary outcome of interest was incidence of koebnerization. RESULTS None of the 38 patients with psoriasis treated with laser therapy experienced subsequent koebnerization. Seven patients were on oral systemic medications, 14 were on biologic agents, and 3 were on combination therapy. None of the patients experienced skin infections, delayed healing, or scarring, irrespective of their psoriasis therapy. CONCLUSION Koebnerization did not occur on the face, neck, or scalp of patients with psoriasis who underwent laser therapy, irrespective of psoriasis severity or types of psoriasis medications they were receiving. Although these results are encouraging, the risk of koebnerization should be discussed with patients with psoriasis who wish to undergo laser procedures. |
| Databáze: | OpenAIRE |
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