The effectiveness of long-pulse 1064 nm neoymium-doped yttrium aluminum garnet laser for recalcitrant palmoplantar and ungual warts

Autor: Seçil Engin Uysal, Sümeyye Altuntaş Kakşi, Yeliz Uçar Tavli, Mustafa Özdemir, Ali Balevi, Mavişe Yüksel, Burcu Işik
Rok vydání: 2015
Předmět:
Zdroj: Türkderm, Vol 49, Iss 4, Pp 271-275 (2015)
ISSN: 1019-214X
DOI: 10.4274/turkderm.41017
Popis: Background and Design: Some of palmoplantar and ungual warts are resistant to conventional treatments. In this study, we aimed to investigate the efficacy of non-ablative 1064 nm long pulsed neoymium-doped yttrium aluminum garnet (Nd: YAG) laser treatment on recalcitrant palmoplantar and ungual warts. Materials and Methods: Sixty-three patients with recalcitrant palmar, plantar and ungual warts were included in the study. Laser is applied in 4 sessions at 4-week intervals. The study employed the Nd: YAG (80 W). The following parameters were used: spot size: 4 mm; pulse duration: 15 msec; and fluence: 150 J/cm2. Treatment responses were evaluated statistically and side effects were recorded. Results: The number of patients who were completely cleaned and partially cleaned were 37 (66%) and 15 (26%), respectively. Four patients (4%) did not respond to treatment. In statistical analysis, there were no significant differences in palmar, plantar or ungual sites in term of complete clearance (p=0.20, p=0.82 and p=0.94, respectively). In addition, there was no association between the number of lesions and complete clearance (p=0.97). Conclusion: Long-pulsed Nd: YAG laser, which does not affect daily activity, is a safe and alternative method and may be recommended for patients with recalcitrant palmoplantar and ungual warts.
Databáze: OpenAIRE