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Subject Area

Anesthesiology and Intensive Care

Article Type

Original Study

Abstract

Objectives To compare the efficacy of 1064-nm Nd : YAG laser and intralesional corticosteroid in the treatment of acne keloidalis nuchae (AKN). Background AKN is a chronic inflammatory condition that leads to scarring of the hair follicles, development of keloid-like papules and plaques, and scarring alopecia on the nape of the neck and occipital scalp. Patients and methods The study was conducted on 20 patients with AKN and was studied through the following regimens: group I included 10 patients treated by long pulsed Nd : YAG laser of 1064-nm wavelength, and group II comprised 10 patients treated by intralesional corticosteroid. Sessions were performed every 2 weeks for six sessions. Evaluation included papule count, keloidal plaque size assessment, and patient satisfaction before, at every session, and at the end of treatment. Results Patients' papule and pustule count in Nd : YAG group before treatment ranged between 3 and 30 (10.70±8.43), and after treatment, it was decreased significantly (3.70±3.37), whereas in intralesional corticosteroid group before treatment, it ranged between 2 and 9, and after treatment, it decreased significantly. There were no significant differences before treatment and after treatment, where P=0.218. Conclusion Treatment of AKN by Nd : YAG 1064-nm laser is much more promising than intralesional injection of corticosteroids and much more tolerated by patients.

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