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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">To the Editor&#58;</span></p><p id="par0010" class="elsevierStylePara elsevierViewall">First we would like to congratulate Dr&#46; Carrascosa and his colleagues for their article &#8220;Hidradenitis Suppurativa&#58; New Opportunities for an Orphan Skin Disease&#8220;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> on the subject of a disease which&#44; as they indicate&#44; occurs almost always in young patients and has a severely negative impact on the patient&#39;s quality of life&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">We agree with the opinion expressed in the article that the treatment options for these patients are&#44; in many cases&#44; limited or almost nonexistent&#46; In our hospital we have treated and are currently treating these patients with intralesional photodynamic therapy&#44; with good results&#46;<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">2&#44;3</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">In a recently published series&#44; we reported the results obtained in 27 patients&#44; as follows&#58; complete response in 37&#37;&#44; good response in 41&#37;&#44; and partial response in 19&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> In that series&#44; 18 patients underwent a single session of treatment&#44; 7 patients required 2 sessions&#44; and 3 sessions were needed in 1 case&#46; Only 1 of the patients with complete response needed more than 1 session&#46; Tolerance to treatment was good except for 1 patient&#44; in whom treatment was discontinued due to pain&#46; Doppler ultrasound was performed on all the patients before treatment to assess the length and depth of the lesions to be treated&#46; We used the following treatment protocol&#58; 1&#37; 5-aminolevulinate injected at a dose of 0&#46;2<span class="elsevierStyleHsp" style=""></span>mL&#47;cm<span class="elsevierStyleSup">2</span>&#59; after which&#44; following incubation for 3<span class="elsevierStyleHsp" style=""></span>hours&#44; the lesion was irradiated intratumorally with a laser beam of 630<span class="elsevierStyleHsp" style=""></span>nm &#40;1<span class="elsevierStyleHsp" style=""></span>W&#47;cm<span class="elsevierStyleSup">2</span>&#41; applied for 3<span class="elsevierStyleHsp" style=""></span>minutes using a fiber-optic probe&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Although the level of evidence provided by this case series is low &#40;to date we have treated 60 cases&#41;&#44; we would like to share the results obtained with this new treatment option for patients with hidradenitis suppurativa who have previously received multiple treatments&#44; including biologic agents&#59; our patients reported marked improvement in quality of life&#46; We feel that it is important to make this brief comment because&#44; once again to paraphrase the authors of the recent article&#44; &#8220;even under treatment with these new drugs&#44; however&#44; the response of over half the patients with severe forms of HS will continue to be unsatisfactory&#46;&#8221; While it is not&#44; at present&#44; a common technique&#44; the addition of intralesional photodynamic therapy as a therapeutic option for the treatment of HS may be effective in many cases&#46;</p></span>"
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Letter to Editor
Comment on “Hidradenitis Suppurativa: New Opportunities for an Orphan Skin Disease”
Comentario a: “Hidrosadenitis supurativa: nuevas oportunidades para una enfermedad dermatológica huérfana”
B. González-Sixtoa, M.Á. Rodríguez-Prietob,
Autor para correspondencia
manuelangelro@gmail.com

Corresponding author.
a Servicio Dermatología. Xestión Integrada Pontevedra-Salnés, Pontevedra, Spain
b Servicio Dermatología - Complejo Asistencial Universitario de León, León, Spain
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