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

• Published in: Turkderm Vol. 49; no. 4; p. 271
• Main Authors: Balevi, Ali, Isik, Burcu, Tavli, Yeliz Uçar, Uysal, Seçil Engin, Yüksel, Mavise, Kaksi, Sümeyye Altuntas, Özdemir, Mustafa
• Format: Journal Article
• Language: Turkish
• Published: Istanbul Galenos Publishing House 01.10.2015
• Subjects: Dermatology; Warts
• ISSN: 2717-6398; 2651-5164
• DOI: 10.4274/turkderm.41017

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. 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/cm^sup 2^. Treatment responses were evaluated statistically and side effects were recorded. 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). 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.