Treatment of Cutaneous Leishmaniasis by CO2 Laser and Er:YAG Laser Asia Husam Hasan* DDV, Osama M Al-Joboori* FICMS, Saad Jawad Jassam* DDV

  • imj Iraq Medical Journal
Keywords: CO2, Er:YAG, Leishmaniasis


Background: Cutaneous Leishmaniasis is an endemic disease in Iraq, it persists for long periods and heals with disfiguring scars, many treatments have been suggested for this disease.

Objective: To compare the effect of CO2 laser with Er:YAG laser in treatment of acute cutaneous Leishmaniasis.

Methods: This is a prospective interventional randomized, clinical study was done on 42 patients with 51 lesions in two groups evaluated in Tikrit and Baghdad city. The patients in group A underwent one session of fractional CO2 laser for treatment of cutaneous Leishmaniasis and the patients in group B underwent one session of Er:YAG laser. All cases were evaluated according to “Sharquie’s modified leishmaniasis score to assess the objective response to topical or systemic therapy”. The data collected and analyzed by Chi-square and P-value.

Results: There were 19 patients with 22 lesions in group A and 23 patients with 29 lesions in group B. The mean age was 37.4 ± 9.82. Our results show there was no statistically significant difference between cure rates of both groups. The cure rate of group A was 95.5% and that of group B was 93.2%.

Conclusions: Cutaneous Leishmaniasis can be treated effectively with CO2 laser and Er:YAG laser.


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