000 02834cam a2200313 4500500
005 20250121154731.0
041 _afre
042 _adc
100 1 0 _aLindsø Andersen, Pernille
_eauthor
700 1 0 _a Riis, Peter Theut
_eauthor
700 1 0 _a Thorlacius, Linnea
_eauthor
700 1 0 _a Sigsgaard, Viktoria
_eauthor
700 1 0 _a Nielsen, Christina Wilken
_eauthor
700 1 0 _a Chafranska, Lana
_eauthor
700 1 0 _a Westergaard, Christine
_eauthor
700 1 0 _a Jemec, Gregor Borut
_eauthor
700 1 0 _a Saunte, Ditte Marie
_eauthor
245 0 0 _aIntense pulsed light treatment for hidradenitis suppurativa: a within-person randomized controlled trial
260 _c2020.
500 _a6
520 _aBackground: Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease of the intertriginous areas. HS affects hair follicles causing perifollicular inflammation, resulting in the formation of nodules and painful abscesses. Intense pulsed light (IPL) uses selective photothermolysis to destroy the hair follicles. Objectives: To evaluate the effect of IPL hair removal as treatment for mild-to-moderate HS. Materials & Methods: We conducted a single-blinded, clinical randomized trial with patients with Hurley Stage I-II. Patients with symmetrical disease were randomized to monthly unilateral treatment of the axilla or groin. The contralateral side served as internal control. Concomitant treatment modalities for HS were not permitted throughout the study. Efficacy was assessed using Hidradenitis Suppurativa Clinical Response (HiSCR), modified Sartorius score (MSS) and patient-reported outcomes. Results: A total of 17 patients completed the trial and were included in the analysis. HiSCR was not evaluated in patients without abscesses or inflammatory nodules pre-treatment. HiSCR was insignificantly different between the intervention side (8/12) and control side (4/10), P=0.467. There was, however, a significant reduction in regional MSS on the intervention side with a median score decreasing from 8.5 (IQR: 6.3-13.5) to 4.5 (IQR 1.8-8.0) post-treatment, P=0.006, and an insignificant score reduction in the control side from 6.0 (IQR: 4.5-8.3) to 5.0 (IQR: 2.5-9.0), post-treatment P=0.492. Conclusion: IPL hair removal resulted in a significant reduction on MSS on the treated area with no significant reduction on the control side. Our study suggests that IPL may be an effective treatment for mild-to-moderate HS.
690 _ahidradenitis suppurativa
690 _aacne inversa
690 _aIPL
690 _aintense pulse light
690 _atreatment
786 0 _nEuropean Journal of Dermatology | 30 | 6 | 2020-11-01 | p. 723-729 | 1167-1122
856 4 1 _uhttps://shs.cairn.info/revue-european-journal-of-dermatology-2020-6-page-723?lang=fr&redirect-ssocas=7080
999 _c603153
_d603153