Comparative study of the clinico-trichoscopic response to treatment of hirsutism with long pulsed (1064 nm) Nd:YAG laser in idiopathic hirsutism and polycystic ovarian syndrome patients
| Autor: | Mohd Rafiq Tilwani, Nahida Nabi, Iffat Hassan Shah, Yasmeen Jabeen Bhat, Aijaz Hakeem, Uzair Khursheed Dar, Shahnaz Ahmad Mir |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Hirsutism Dermatology Lasers Solid-State Hair Removal Idiopathic hirsutism 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine medicine Humans In patient Prospective Studies Prospective cohort study hirsutism integumentary system business.industry 030206 dentistry medicine.disease Response to treatment Trichoscopy Treatment Outcome Nd:YAG laser Vellus hair Surgery Female sense organs business Polycystic Ovary Syndrome |
| Zdroj: | Lasers in medical science. 37(1) |
| ISSN: | 1435-604X |
| Popis: | Treatment of hirsutism is usually resistant, and from medical management to laser hair reduction, the treatment of hirsutism and its assessment are the most challenging. The aim of the study was to compare the response to treatment by laser hair reduction with long pulsed (1064 nm) Nd:YAG laser in patients of idiopathic hirsutism and polycystic ovarian syndrome (PCOS) by clinical and trichoscopic assessment. A hospital-based comparative, observational prospective study was carried out on female patients with hirsutism over a period of 18 months with two groups of participants: fifty women with idiopathic hirsutism (group A) and fifty with PCOS (group B). Laser hair reduction was done with long pulsed (1064 nm) Nd:YAG laser in both groups up to six sessions, 4 weeks apart and followed for 3 months post last laser session. After the sixth session of laser hair reduction, excellent response (> 75% reduction) from baseline was seen in 70% of patients in group A and in 54% of patients in group B. After 3 months of follow-up of the last laser session, it was found that the results persisted in patients with idiopathic cause than in those due to PCOS, seen both clinically and trichoscopically with decrease in hair shaft thickness, hair shaft colour, terminal vs. vellus hair ratio and hair density per cm2. Hirsutism due to idiopathic cause responds better to laser hair reduction with long pulsed (1064 nm) Nd:YAG laser than that due to PCOS, due to underlying hormonal imbalance in the latter group. Follow-up of only up to 3 months after last laser session was done and tricoscan was not done. |
| Databáze: | OpenAIRE |
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