Tratamiento de la verruga vulgar con láser Nd:YAG de 1064 nm

Suzanne Sirota Rozenberg, DO y Winfred S. Chu, DO, Dermatología, Rockaway, NY Revista del Colegio Americano de Osteopatía de Dermatología, volumen 25

El tratamiento con láser Nd:YAG de 1064 nm implica el suministro de irradiación de luz láser a una longitud de onda de 1064 nm, lo que permite una penetración más profunda en tejidos más gruesos en comparación con láseres de longitud de onda más corta sin contacto directo con la piel o la verruga. Este láser también se usa para tratar lesiones vasculares y pigmentadas, depilación, rejuvenecimiento de la piel, onicomicosis y muchos otros tratamientos estéticos y médicos.8 Se necesita un mínimo de una o dos sesiones de tratamiento, con sesiones espaciadas de dos a tres semanas. Las sesiones de tratamiento suelen comenzar utilizando una lente enfocada con un punto de 2 mm en los ajustes de duración de pulso de 1.5 ms y modo de energía de 8 o 9 (fluencia de 255 J/cm2 a 287 J/cm2). Se utiliza un enfriador Zimmer al final del tratamiento con láser. En el caso de nuestro paciente, se aplicó un total de dos pasadas sobre la verruga con cada sesión de tratamiento y el paciente lo toleró muy bien. Al final de la cuarta sesión de tratamiento, la verruga del paciente se había resuelto por completo.

Hemos demostrado el éxito de la utilización de láser Nd:YAG de 1064 nm en el tratamiento de una verruga que no había respondido al tratamiento estándar. Los dermatólogos deben considerar el uso de esta terapia con láser en las primeras etapas del tratamiento de las verrugas resistentes, ya que los pacientes la toleran bien y proporciona resultados importantes y oportunos que ayudan a lograr la remisión de la enfermedad.

Table of Contents

Hyperpigmentation

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Vascular Lesions

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Rosacea / Redness

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Hair Removal

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PFB

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Scars

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Autoimmune Disorders

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Skin Rejuvenation

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Acne

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• Key contributor to the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
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• Involvement with the annual budget process
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
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• Strong knowledge of the monthly close process and technical accounting

• Detailed oriented, with ability to see the big picture

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• Self-starter who can work independently and employ time management skills to meet deadlines.

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• Intermediate knowledge of MS Excel (V-lookup, formulas, pivot tables).

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• Strong interpersonal and communication skills

• Sound judgment and problem-solving skills

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