The Treatment of Infantile Cafe Au Lait Spot Using Dr. Hoon Hur’s Golden Parameter Therapy with a High Fluence 1064nm Q-Switched Nd: Yag Laser

Abstract

Background: Infantile Café-Au-Lait Spot (CALS) is a benign hyperpigmentary skin disorder that ranges in color from light brown to dark brown. Using traditional laser therapies including 532nm potassium titanyl phosphate(KTP) laser, 694nm ruby laser and 755nm alexandrite laser for infantile CALS treatment may provoke harmful side effects such as purpurae, crusts,Post-Inflammatory Hyperpigmentation (PIH), mottled hypopigmentation and scarring. Unfortunately, there is no clear standard for the laser treatment of infantile CALS because an infant is too young to receive laser treatment. Objectives: This study was performed to investigate the efficacy and safety of Dr. Hoon Hur’s Golden Parameter Therapy (GPT) with a high fluence 1064nm Q-switched Nd:YAG laser laser (QSNL) for infantile CALS treatment. Methods: Nineteen Korean patients with infantile CALS were enrolled in this study and treated with a 1064nm QSNL on a weekly basis for 20-50 treatment sessions of Dr. Hoon Hur’s GPT. The parameters were a spot size of 7 mm, a fluence of 2.2 J/cm2 and a pulse rate of 10Hz with one pass by a sliding-stacking technique over the infantile CALS. Results: After the final treatment, all of the 19 patients with infantile CALS were achieved the complete removal of pigmented lesions without any side effects such as purpurae, crusts, PIH, mottled hypopigmentation or scarring. No recurrences were observed in any of the patients after a follow- up of 6-14 months. Conclusion: We suggest that Dr. Hoon Hur’s GPT with a high fluence 1064nm QSNL is a safe and effective treatment for infantile CALS without causing side effects and recurrences. Keywords: Infantile Cafe au Lait Spot; 1064nm Nd:YAG laser; Dr. Hoon Hur’s GPT

The Treatment of Becker’s Nevus by Combination Therapy: Dr. Hoon Hur’s Golden Parameter Therapy and Dr. HOON Hur’s Optimal Melanocytic Suicide-1 Parameter Therapy

“…We believe that the combination therapy of Dr. Hoon Hur's GPT and Dr. Hoon Hur's OMS-1 PT using a high fluence 1064 nm QSNL is safer and more effective for the Becker's nevus treatment compared to traditional laser therapies. Authors from previous research papers claimed that treatment using Dr. Hoon Hur's GPT with a high 1064 nm QSNL was extremely effective and did not cause any harmful side effects such as scarring, PIH, or mottled hypopigmentation in other various pigmentary skin diseases including café au lait spots [12][13][14][15][16], Becker's nevus [13], partial unilateral lentiginosis [13,17], Ota's nevus [18], Hori's nevus [19], congenital melanocytic nevus [20], Riehl's melanosis [21], erythema ab igne [22], and pruigo pigmentosa [23]. We surmise a fusion of Dr. Hoon Hur's GPT and Dr. Hoon Hur's OMS-1 PT, being performed routinely without damage to the epidermis on a weekly basis, leads to gradual destruction of epidermal melanocytes and dermal smooth muscles, therefore causing apoptotic melanocytic cell death program and apoptotic smooth muscle cell death program.…”

“…We surmise a fusion of Dr. Hoon Hur's GPT and Dr. Hoon Hur's OMS-1 PT, being performed routinely without damage to the epidermis on a weekly basis, leads to gradual destruction of epidermal melanocytes and dermal smooth muscles, therefore causing apoptotic melanocytic cell death program and apoptotic smooth muscle cell death program. Due to the poor absorption by epidermal melanin, Dr. Hoon Hur's GPT and Dr. Hoon Hur's OMS-1 PT with the adoption of high fluence 1064 nm QSNL is able to destroy the melanosomes in the epidermal melanocytes and dermal smooth muscles without epidermal damage, finally causing epidermal melanocytes and dermal smooth muscles to lose functions and turn into ghost cells [12][13][14][15][16]. Getting Dr. Hoon Hur's GPT and Dr. Hoon Hur's OMS-1 PT using a high fluence 1064 nm QSNL for a longer weekly basis using a high fluence 1064 nm QSNL destroys more epidermal melanocytes and dermal smooth muscles and promotes the apoptosis of epidermal melanocytes and dermal smooth muscles.…”

“…Getting Dr. Hoon Hur's GPT and Dr. Hoon Hur's OMS-1 PT using a high fluence 1064 nm QSNL for a longer weekly basis using a high fluence 1064 nm QSNL destroys more epidermal melanocytes and dermal smooth muscles and promotes the apoptosis of epidermal melanocytes and dermal smooth muscles. Furthermore, both the end product of destroyed melanocytes and the dispersed melanins and melanosomes are eradicated by transepidermal elimination or by dermal melanophages through the lymphatic system [12][13][14][15][16]. Normal melanocytes, which migrate from the outer root sheath of hair follicles by homeostasis and the apoptotic melanocytic cell death program, slowly replace the lesional melanocytes.…”

“…Normal melanocytes, which migrate from the outer root sheath of hair follicles by homeostasis and the apoptotic melanocytic cell death program, slowly replace the lesional melanocytes. And lastly, the removal of Becker's nevus can happen without incurring any side effects or recurrences [12][13][14][15][16]. In this study, each of the 42 Becker's nevus patients were treated with 75-100 session of Dr. Hoon Hur's GPT using a high fluence 1064 nm QSNL, the spot size being 7mm, with a fluence of 2.2 J/cm 2 and a pulse rate of 10 Hz using a sliding-stacking technique with a single pass, followed by Dr. Hoon Hur's OMS-1 PT with 5 passes by a sliding technique with a high fluence1064 nm QSNL at a one-week interval.…”

“…That said, Dr. Hoon Hur's GPT and Dr. Hoon Hur's OMS-1 PT with a high fluence 1064 nm QSNL does not create petechiae or purpurae, but induces erythema only. Since Dr. Hoon Hur's GPT and Dr. Hoon Hur's OMS-1 PT are less absorbed by epidermal melanin, they do not destroy normal background tissue but remove epidermal melanocytes and dermal smooth muscles without crusts and purpurae, eventually preventing PIH and scarring [12][13][14][15][16].…”