A low initial botulinum toxin A treatment response does not predict poor long-term outcomes in patients with axillary bromhidrosis

Purpose: For patients with axillary bromhidrosis, it is not clear that whether a low response to initial botulinum toxin A (BTX-A) treatment is related to poor long-term outcomes. Patients and methods: From August 2011 to March 2016, 31 patients with primary axillary bromhidrosis were recruited. The...

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Main Authors: Jinguang He, Tao Wang, Jiasheng Dong
Format: Article
Language:English
Published: Taylor & Francis Group 2018-01-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2017.1329512
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author Jinguang He
Tao Wang
Jiasheng Dong
author_facet Jinguang He
Tao Wang
Jiasheng Dong
author_sort Jinguang He
collection DOAJ
description Purpose: For patients with axillary bromhidrosis, it is not clear that whether a low response to initial botulinum toxin A (BTX-A) treatment is related to poor long-term outcomes. Patients and methods: From August 2011 to March 2016, 31 patients with primary axillary bromhidrosis were recruited. They had the duration of efficacy for less than 4 weeks (median, 3 weeks; range, 1–3 weeks) after the first BTX-A injection (50 U per underarm) and were considered to have a low response to BTX-A treatment. The second injection with the same dose was immediately administered once the symptoms recurred. Subsequent sessions were performed with a double dose. Results: The duration of efficacy rose significantly to 10 weeks (range, 1–24 weeks) after the second injection (p < .01). Twenty-five patients received the third injection. The resultant duration further increased to 16 weeks (range, 12–26 weeks). No patients reported adverse effects during our follow-up period. Conclusions: For patients with primary axillary bromhidrosis, a low initial BTX-A treatment response does not predict poor long-term outcomes. Immediate reinjection with the same dose and subsequent sessions with a double dose is a safe strategy and can increase the duration of BTX-A therapy.
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spelling doaj.art-5cdf2c33e7cc44ce94ed51d1c61d9c5a2023-09-15T14:08:30ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532018-01-0129110210410.1080/09546634.2017.13295121329512A low initial botulinum toxin A treatment response does not predict poor long-term outcomes in patients with axillary bromhidrosisJinguang He0Tao Wang1Jiasheng Dong2Shanghai 9th People’s Hospital, Shanghai JiaoTong University School of MedicineShanghai 9th People’s Hospital, Shanghai JiaoTong University School of MedicineShanghai 9th People’s Hospital, Shanghai JiaoTong University School of MedicinePurpose: For patients with axillary bromhidrosis, it is not clear that whether a low response to initial botulinum toxin A (BTX-A) treatment is related to poor long-term outcomes. Patients and methods: From August 2011 to March 2016, 31 patients with primary axillary bromhidrosis were recruited. They had the duration of efficacy for less than 4 weeks (median, 3 weeks; range, 1–3 weeks) after the first BTX-A injection (50 U per underarm) and were considered to have a low response to BTX-A treatment. The second injection with the same dose was immediately administered once the symptoms recurred. Subsequent sessions were performed with a double dose. Results: The duration of efficacy rose significantly to 10 weeks (range, 1–24 weeks) after the second injection (p < .01). Twenty-five patients received the third injection. The resultant duration further increased to 16 weeks (range, 12–26 weeks). No patients reported adverse effects during our follow-up period. Conclusions: For patients with primary axillary bromhidrosis, a low initial BTX-A treatment response does not predict poor long-term outcomes. Immediate reinjection with the same dose and subsequent sessions with a double dose is a safe strategy and can increase the duration of BTX-A therapy.http://dx.doi.org/10.1080/09546634.2017.1329512axillary bromhidrosisbotulinum toxin alow initial responsetreatment
spellingShingle Jinguang He
Tao Wang
Jiasheng Dong
A low initial botulinum toxin A treatment response does not predict poor long-term outcomes in patients with axillary bromhidrosis
Journal of Dermatological Treatment
axillary bromhidrosis
botulinum toxin a
low initial response
treatment
title A low initial botulinum toxin A treatment response does not predict poor long-term outcomes in patients with axillary bromhidrosis
title_full A low initial botulinum toxin A treatment response does not predict poor long-term outcomes in patients with axillary bromhidrosis
title_fullStr A low initial botulinum toxin A treatment response does not predict poor long-term outcomes in patients with axillary bromhidrosis
title_full_unstemmed A low initial botulinum toxin A treatment response does not predict poor long-term outcomes in patients with axillary bromhidrosis
title_short A low initial botulinum toxin A treatment response does not predict poor long-term outcomes in patients with axillary bromhidrosis
title_sort low initial botulinum toxin a treatment response does not predict poor long term outcomes in patients with axillary bromhidrosis
topic axillary bromhidrosis
botulinum toxin a
low initial response
treatment
url http://dx.doi.org/10.1080/09546634.2017.1329512
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AT jiashengdong alowinitialbotulinumtoxinatreatmentresponsedoesnotpredictpoorlongtermoutcomesinpatientswithaxillarybromhidrosis
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