RESUMO
Elephantiasis nostras verrucosa (ENV) is a rare and dramatic sequela of chronic nonfilarial lymphedema. The condition is characterized by papules, verrucous lesions, enlargement, and woody fibrosis of the affected area. ENV is a progressive condition, and, without intervention, ongoing deformity and disability will result. Management of ENV is often challenging, but a variety of successful medical and surgical treatment strategies have been reported.
Assuntos
Elefantíase , Diagnóstico Diferencial , Progressão da Doença , Elefantíase/diagnóstico , Elefantíase/terapia , Humanos , Dermatoses da Perna/diagnóstico , Dermatoses da Perna/terapia , PrognósticoAssuntos
Dermatomicoses/tratamento farmacológico , Dermatomicoses/microbiologia , Fotoquimioterapia , Rhodotorula , Ácido Aminolevulínico/uso terapêutico , Antifúngicos/uso terapêutico , Humanos , Lasers de Corante/uso terapêutico , Masculino , Pessoa de Meia-Idade , Fármacos Fotossensibilizantes , Ácido Salicílico/uso terapêuticoRESUMO
BACKGROUND: In the early 1990s, the biological significance of light-emitting diodes was realized. Since this discovery, various light sources have been investigated for their cutaneous effects. STUDY DESIGN: A Medline search was performed on light-emitting diode lights and their therapeutic effects between 1996 and 2010. Additionally, an open-label, investigator-blinded study was performed using a yellow light-emitting diode device to treat acne, rosacea, photoaging, alopecia areata, and androgenetic alopecia. RESULTS: The authors identified several case-based reports, small case series, and a few randomized controlled trials evaluating the use of four different wavelengths of light-emitting diodes. These devices were classified as red, blue, yellow, or infrared, and covered a wide range of clinical applications. The 21 patients the authors treated had mixed results regarding patient satisfaction and pre- and post-treatment evaluation of improvement in clinical appearance. CONCLUSION: Review of the literature revealed that differing wavelengths of light-emitting diode devices have many beneficial effects, including wound healing, acne treatment, sunburn prevention, phototherapy for facial rhytides, and skin rejuvenation. The authors' clinical experience with a specific yellow light-emitting diode device was mixed, depending on the condition being treated, and was likely influenced by the device parameters.