The effectiveness of long-pulse 1064 nm neoymium-doped yttrium aluminum garnet laser for recalcitrant palmoplantar and ungual warts Tedaviye dirençli palmoplantar ve ungual siʇillerde uzun atimli 1064 nm neodimyum katkili itriyum alüminyum granat lazerin etkinliʇi

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BALEVİ A., Işik B., Tavli Y. U., Uysal S. E., Yüksel M., Kakşi S. A., ...More

Turkderm Deri Hastaliklari ve Frengi Arsivi, vol.49, no.4, pp.271-275, 2015 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 49 Issue: 4
  • Publication Date: 2015
  • Doi Number: 10.4274/turkderm.41017
  • Journal Name: Turkderm Deri Hastaliklari ve Frengi Arsivi
  • Journal Indexes: Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.271-275
  • Keywords: Lasers, Neodmymium-doped yttrium aluminum garnet, Warts
  • Istanbul Medipol University Affiliated: Yes

Abstract

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.