Objectives: The objective of the topic was to evaluate the importance of hair removal in the treatment of patients affected by hidradenitis suppurativa.
Introduction: Since 1996, lasers and IPL have been used for hair removal mostly for cosmetic reasons. However, in dermatology hair removal has also been used for the treatment of diseases, such as hirsutism, hypertricosis, and for hair-bearing skin grafts. Hidradenits Suppurativa (HS) is a chronic disabling disorder, with exacerbations, recurrence, and progression despite medical and extensive surgical treatment. Histologic studies have suggested that HS is a disorder of the terminal follicular epithelium with follicular hyperkeratosis and obstruction acting as an early event in the pathogenesis of HS.
Materials / method: PubMed was searched using terms ‘hidradenitis suppurativa,’ ‘acne inversa,’ ‘apocrine acne,’ ‘apocrinitis,’ ‘hidradenitis axillaris,’ and ‘Verneuil’s disease’ and laser hair removal. Only studies written in English were included. Case reports and case series were included when larger trials were pending or unavailable.
Results: The treatment goal for the hair removal lasers and light devices is, therefore, to destroy the hair follicles and thereby reduce the disease activity. Significant therapeutic benefit has been reported in this condition after LHR with diode laser, Nd:YAG laser, alexandrite laser and IPL devices. Removal of hair with lasers and light improves the HS symptoms in several studies, but repeated treatments seem to be necessary. Long-term follow-up is lacking.
Conclusion: Although Laser Hair Removal started as a cosmetic modality, it is fast gaining significance as a therapeutic modality in wide range of dermatological and surgical indications. Laser Hair Removal is safe and well tolerated even in pediatric population. It has reduced the morbidity associated with various chronic and recurrent disorders and thus improved the quality of life of these patients.
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