{"id":7290,"date":"2023-02-07T09:09:45","date_gmt":"2023-02-07T09:09:45","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=7290"},"modified":"2023-02-27T08:46:43","modified_gmt":"2023-02-27T08:46:43","slug":"folliculitis-decalvans-managed-with-long-pulsed-ndyag-our-experience-and-a-review-of-the-literature-2022","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2023\/02\/07\/folliculitis-decalvans-managed-with-long-pulsed-ndyag-our-experience-and-a-review-of-the-literature-2022\/","title":{"rendered":"Folliculitis decalvans managed with long pulsed Nd:YAG; our experience and a review of the literature (2022)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nConference abstract<\/p>\n<p><strong>Author(s):<\/strong><br \/>\n*Oh S.; *Badrol S.; *Tzortzis S.; El Shimy N.; Murdoch S.;<\/p>\n<p><strong>Citation:<\/strong><br \/>\nLasers in Medical Science. Conference: British Medical Laser Association Annual Conference, BMLA 2022. Edinburgh United Kingdom. 37(9) (pp 3769), 2022. Date of Publication: December 2022.<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nBackground Folliculitis decalvans (FD) is a rare inflammatory disorder predominantly of the scalp that can progress to cicatrical alopecia. Mainstay treatment is antibiotics; however, resolution is difficult, and relapse is common. Only three cases of FD treated with neodymium:yttrium aluminum garnet (Nd:YAG) laser exist in the literature. We present two cases of recalcitrant FD managed with long pulsed Nd:YAG laser and a literature review. Study Design Retrospective case series of two patients with FD treated with long pulsed Nd:YAG laser. Results The first case was a 49-year-old male with Fitzpatrick skin type II. Previous unsuccessful treatment included oral doxycycline and isotretinoin. A course of eight sessions of Nd:YAG laser (CynergyTM, Cynosure) was performed with settings of 50J\/cm&lt;inf&gt;2&lt;\/inf&gt;, 20msec pulse duration, and 10mm spot size. Complete resolution of FD was achieved and remained stable without adjuvant treatment at 6 months post laser. The second case was a 46-year-old male with Fitzpatrick skin type IV with 9-years history of FD. Previously, oral antibiotics (clindamycin, rifampicin, erythromycin, ciprofloxacin) as well as dapsone, intralesional triamcinolone and acitretin treatment was trialled without success. A total of four successful treatments with Nd:YAG laser was completed with settings of 30J\/cm&lt;inf&gt;2&lt;\/inf&gt;, 40msec pulse duration, and 15mm spot size. Treatment is ongoing. Conclusion Our experience of Nd:YAG laser treatment of FD have been positive. All cases from literature report full resolution of FD maintained without adjuvant treatment between 6 months to 1.5 years after final treatment. Treatment with Nd:YAG laser is an option for patients suffering from recalcitrant FD.<\/p>\n<p><a href=\"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10103-022-03623-y.pdf\">Link to full-text<\/a> [no password required]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Conference abstract Author(s): *Oh S.; *Badrol S.; *Tzortzis S.; El Shimy N.; Murdoch S.; Citation: Lasers in Medical Science. Conference: British Medical Laser Association Annual Conference, BMLA 2022. Edinburgh United Kingdom. 37(9) (pp 3769), 2022. Date of<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2023\/02\/07\/folliculitis-decalvans-managed-with-long-pulsed-ndyag-our-experience-and-a-review-of-the-literature-2022\/\">Read more <span class=\"screen-reader-text\">Folliculitis decalvans managed with long pulsed Nd:YAG; our experience and a review of the literature (2022)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[1017,1003,286],"class_list":["post-7290","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-1017","tag-bronze-open-access","tag-dermatology"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7290","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=7290"}],"version-history":[{"count":2,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7290\/revisions"}],"predecessor-version":[{"id":7335,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7290\/revisions\/7335"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=7290"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=7290"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=7290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}