{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T16:04:14Z","timestamp":1784304254682,"version":"3.55.0"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Lasers Surg Med"],"published-print":{"date-parts":[[2026,8]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n To evaluate the safety, tolerability, and early clinical and ultrasound effects of a 1726\u2010nm laser for hidradenitis suppurativa (HS) tunnels in a pediatric patient with skin of color.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n A 16\u2010year\u2010old female (Fitzpatrick skin type VI) with moderate HS and bilateral axillary draining tunnels underwent 4 monthly treatments with a 1726\u2010nm laser (22\u201324\u2009J\/cm\u00b2) directed only to the right axillary tunnel. The patient was receiving concurrent adalimumab therapy throughout the treatment period. Outcomes included investigator\u2010rated Vancouver Scar Scale (VSS), patient\u2010reported drainage, flare frequency, and pain (0\u201310 visual analog scale), as well as standardized photography and high\u2010frequency ultrasound imaging performed at baseline and through week 15.5.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n By week 15.5, VSS of the treated right axilla improved from 9 to 2, primarily reflecting improved scar pliability (4 to 1). Drainage of the treated tunnel resolved after the first laser session and did not recur. In contrast, the untreated left axillary tunnel remained chronically draining. Ultrasound imaging of the treated side demonstrated a reduction in tunnel dimensions over time. Treatment was well tolerated, with a mean pulse\u2010associated pain score of 3\/10 that resolved immediately post\u2010procedure, and no adverse events were observed.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Treatment with a 1726\u2010nm laser was associated with early resolution of drainage, improved scar pliability, and reduced tunnel dimensions on ultrasound. Although interpretation is limited by concurrent biologic therapy, the early unilateral response supports a localized laser effect. Larger controlled studies with longer follow\u2010up are warranted to clarify the role of 1726\u2010nm laser therapy in the management of HS tunnels.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lsm.70144","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T14:26:42Z","timestamp":1777904802000},"page":"443-446","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["1726\u2010nm Laser Treatment of Hidradenitis Suppurativa Tunnels in a Pediatric Skin of Color Patient: Clinical and Ultrasound Outcomes"],"prefix":"10.1002","volume":"58","author":[{"given":"Emilee M.","family":"Dreifus","sequence":"first","affiliation":[{"name":"Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8207-396X","authenticated-orcid":false,"given":"Gabriela E.","family":"Beraja","sequence":"additional","affiliation":[{"name":"Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9960-5081","authenticated-orcid":false,"given":"Aditi","family":"Chokshi","sequence":"additional","affiliation":[{"name":"Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyx","family":"Rosen","sequence":"additional","affiliation":[{"name":"Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariel E.","family":"Eber","sequence":"additional","affiliation":[{"name":"Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.medcli.2023.09.018"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-061049"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/pde.15466"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2015.07.050"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40257-019-00491-1"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2025.09.077"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2023.05.085"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.15602"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2025.09.007"},{"key":"e_1_2_11_11_1","unstructured":"Novartis. Novartis Cosentyx\u00ae Receives FDA Approval For Pediatric Patients Aged 12 Years and Older With Moderate to Severe Hidradenitis Suppurativa. Published March 13 2026 accessed March 24 2026 https:\/\/www.novartis.com\/news\/media-releases\/novartis-cosentyx-receives-fda-approval-pediatric-patients-aged-12-moderate-severe-hidradenitis-suppurativa."},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-1899"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10103-022-03645-6"}],"container-title":["Lasers in Surgery and Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lsm.70144","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lsm.70144","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lsm.70144","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T15:20:36Z","timestamp":1784301636000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lsm.70144"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,4]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/lsm.70144"],"URL":"https:\/\/doi.org\/10.1002\/lsm.70144","archive":["Portico"],"relation":{},"ISSN":["0196-8092","1096-9101"],"issn-type":[{"value":"0196-8092","type":"print"},{"value":"1096-9101","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,4]]},"assertion":[{"value":"2026-01-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}