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Dermatome shaving of psoriasis
1Department of Dermatology, Odense University Hospital, Denmark.
The British Journal of Dermatology
|December 1, 1987
Summary
Dermatome shaving offers a potential treatment for limited recalcitrant plaque psoriasis, with healing in two weeks. However, recurrence is possible due to residual epidermis, cautioning against widespread surgical recommendations.
Area of Science:
- Dermatology
- Surgical Procedures
Background:
- Psoriasis is a chronic inflammatory skin condition.
- Recalcitrant plaque psoriasis presents a treatment challenge.
Purpose of the Study:
- To evaluate dermatome shaving as a treatment for chronic recalcitrant plaque psoriasis.
- To assess the recurrence rates and healing times following the procedure.
Main Methods:
- Dermatome shaving was performed on 20 patients with chronic recalcitrant plaque psoriasis.
- Shaving depth was targeted just beneath the superficial dermal vascular plexus.
Main Results:
- Complete healing was observed within two weeks in all patients.
- After one year, 30% (6/20) showed no recurrence, 50% (10/20) had minor recurrence, and 20% (4/20) had significant recurrence.
- Recurrence was associated with residual acanthotic epidermis.
Conclusions:
- Dermatome shaving may be an alternative treatment for limited recalcitrant psoriasis plaques.
- Widespread surgical recommendations for psoriasis are not advised based on these findings due to recurrence risks.