สิวฝ้าหน้าผม

Successful treatment of keratosis pilaris

Dr.Jaratsak Ruangpeerakul , Mae Fah Luang University(Bkk)

Dr.Burin Suraaroonsamrit, Somdet Chaopraya Institute of Psychiatry

Keratosis pilaris is an extremely common , inherited skin disorder that is characterized by multiple follicular papules ,which occurs,mostly as excess keratin accumulating around hair follicles.It’s most commonly found on upper arms,thighs,face,back and buttock.It is estimated that  keratosis pilaris affecting 40% of population(1).Keratosis pilaris is mostly a major nuisance to life because the disease itself is difficult to be treated(2),resulting psychological distress to affected patient. Urea ,lactic acid,topical retinoids,corticosteroids and other treatments have been used with unsatisfied results(3). So, new and effective therapeutic options with long lasting effects are desired. Based on clinical experience gained in the last 4 years, we believed that hair obstruction is a major cause of disease . If we can get rid of  hair in the follicular area, keratosis pilaris should be improved . Our team would like to share with you an effective,well-accepted,well-tolerated treatment by once a month. This protocol has been followed in my practice for over 2 years by over 100 patients with keratosis pilaris.  Our patient  were treated using the neodymium:yttrium-aluminium-garnet (Nd:YAG) laser (1064nm) in our department.  The laser dosage was 20-40 J/cm2, with 10-18 mm in diameter spot and pulse wide of 3-40 ms. Dynamic cooling device set was used 30-20 times and 10-15 times pre- and post-pulse respectively.  The results are satisfying.

                  

  

After  1 treatment x50

.http://www.mfu.ac.th/school/anti-aging/
..http://www.mfu.ac.th/school/anti-aging/admin/uploadCMS/news/DdMon45044.pdf.
Jaratsak Ruangpeerakul 
Dermatologist

สนใจติดต่อ โทร.089-783-9197,083-785-6941 หรือ ที่ รพ.แม่ฟ้าหลวง (คุณน้อย) 38/11-13 อาคารอโศกเพลส ถนนอโศก สุขุมวิท 21 แขวงคลองเตยเหนือ เขตวัฒนา กทม. รพ.มหาวิทยาลัยแม่ฟ้าหลวง กรุงเทพฯ (อโศก)
โทร. 02-6644360, 02-6642295(More contact:JARATSAK@GMAIL.COM)

 Reference;

*1. Poskitt L, Wilkinson JD. Natural history of keratosis pilaris. Br J Dermatol. Jun 1994;130(6):711-3.

*2.Natural history of keratosis pilaris. Br J Dermatol. Jun 1994;130(6):711-3.
*3. Andreas WG,Treating keratosis pilaris . J Am Acad Dermatol.Vol. 47, Issue     3:457