Department of Dermatology, Henry Ford Hospital, Detroit, Michigan.
Department of Dermatology, Henry Ford Hospital, Detroit, Michigan.
J Am Acad Dermatol. 2015 Nov;73(5 Suppl 1):S78-81. doi: 10.1016/j.jaad.2015.07.050.
Hidradenitis suppurativa (HS) is a chronic inflammatory disease that commonly develops painful, deep dermal abscesses and chronic, draining sinus tracts. Classically, pharmacologic and surgical therapies have been effective for reducing lesion activity and inflammation, but provide only modest success in the prevention of future recurrences and disease progression. Adjunctive therapies, such as laser and light-based therapies, have become more commonly used in the management of HS. These therapies work to reduce the occurrence of painful HS flare-ups by decreasing the number of hair follicles, sebaceous glands, and bacteria in affected areas, and by ablatively debulking chronic lesions. The best results are seen when treatment is individualized, taking disease severity into consideration when selecting specific energy-based approaches. This article will discuss various light-based therapies and the evidence supporting their use in the management of HS.
化脓性汗腺炎（HS）是一种慢性炎症性疾病，通常会发展为疼痛、深部皮肤脓肿和慢性、有分泌物的窦道。临床上，药物和手术治疗已被证明可有效减少病变活动和炎症，但在预防未来复发和疾病进展方面仅取得适度成功。辅助治疗，如激光和光疗，已越来越多地用于 HS 的治疗。这些治疗方法通过减少受累区域的毛囊、皮脂腺和细菌数量，并通过消融性切除慢性病变，来减少疼痛的 HS 发作次数。当治疗个体化，在选择特定的基于能量的方法时考虑疾病严重程度时，可获得最佳效果。本文将讨论各种光疗方法及其在 HS 治疗中的应用证据。
