Botulinum toxin A versus microwave thermolysis for primary axillary hyperhidrosis: A randomized controlled trial.

PROMs QoL RCT botulinum toxin bromhidrosis hyperhidrosis individualized treatment microwave thermolysis osmidrosis personalized therapy randomized controlled trial

Journal

JAAD international
ISSN: 2666-3287
Titre abrégé: JAAD Int
Pays: United States
ID NLM: 101774762

Informations de publication

Date de publication:
Jun 2024
Historique:
accepted: 28 12 2023
medline: 18 3 2024
pubmed: 18 3 2024
entrez: 18 3 2024
Statut: epublish

Résumé

Botulinum toxin A (BTX) and microwave thermolysis (MWT) represent 2 treatment modalities for axillary hyperhidrosis with different procedural and efficacy profiles. To compare long-term outcomes following BTX vs MWT treatment of axillary hyperhidrosis. A prospective, randomized, within-patient, controlled trial, treating axillary hyperhidrosis with contralateral BTX and MWT. Objective sweat measurement and patient-reported outcome measures for sweat and odor were collected at baseline, 6-month and 1-year follow-up (6M/1YFU). Hair reduction and patient treatment preference was also assessed. Sweat reduction was significant (all The intrinsic challenges in efficacy assessment. This study exhibited BTX and MWT with similar sweat reduction, but distinguishable odor and hair reduction at 1-year FU. These findings support individualized treatment approaches for axillary hyperhidrosis based on patient-specific symptoms and preferences.

Sections du résumé

Background UNASSIGNED
Botulinum toxin A (BTX) and microwave thermolysis (MWT) represent 2 treatment modalities for axillary hyperhidrosis with different procedural and efficacy profiles.
Objective UNASSIGNED
To compare long-term outcomes following BTX vs MWT treatment of axillary hyperhidrosis.
Methods UNASSIGNED
A prospective, randomized, within-patient, controlled trial, treating axillary hyperhidrosis with contralateral BTX and MWT. Objective sweat measurement and patient-reported outcome measures for sweat and odor were collected at baseline, 6-month and 1-year follow-up (6M/1YFU). Hair reduction and patient treatment preference was also assessed.
Results UNASSIGNED
Sweat reduction was significant (all
Limitations UNASSIGNED
The intrinsic challenges in efficacy assessment.
Conclusion UNASSIGNED
This study exhibited BTX and MWT with similar sweat reduction, but distinguishable odor and hair reduction at 1-year FU. These findings support individualized treatment approaches for axillary hyperhidrosis based on patient-specific symptoms and preferences.

Identifiants

pubmed: 38495540
doi: 10.1016/j.jdin.2023.12.011
pii: S2666-3287(24)00009-9
pmc: PMC10940128
doi:

Types de publication

Journal Article

Langues

eng

Pagination

91-99

Informations de copyright

© 2024 by the American Academy of Dermatology, Inc. Published by Elsevier Inc.

Déclaration de conflit d'intérêts

Dr Haedersdal has received speaker honorarium for microwave thermolysis symposium. Drs Grove, Togsverd-Bo, and Zachariae have no conflicts of interest to declare.

Auteurs

Gabriela Lladó Grove (GL)

Department of Dermatology, Copenhagen University Hospital - Bispebjerg, Copenhagen, Denmark.

Katrine Togsverd-Bo (K)

Department of Dermatology, Copenhagen University Hospital - Bispebjerg, Copenhagen, Denmark.

Claus Zachariae (C)

Department of Dermatology, Copenhagen University Hospital - Gentofte, Copenhagen, Denmark.
Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

Merete Haedersdal (M)

Department of Dermatology, Copenhagen University Hospital - Bispebjerg, Copenhagen, Denmark.
Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

Classifications MeSH