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September 1994

Therapeutic DermabrasionBack to the Future

Author Affiliations

Department of Dermatology Harvard Medical School and Beth Israel Hospital 330 Brookline Ave Boston, MA 02215

Arch Dermatol. 1994;130(9):1187-1189. doi:10.1001/archderm.1994.01690090111018

IN THIS ISSUE of the Archives, Hamm et al1 demonstrate that Hailey-Hailey disease can be well controlled and potentially cured with dermabrasion. The evidence suggests that by removal of involved epidermis and superficial dermis, this disease process can be markedly altered. In disorders where amelioration or cure can be obtained by selective tissue destruction, ablative therapies can be invaluable. If the pathologic process does not extend below the deep reticular dermis, complete removal with dermabrasion is possible. Because facial skin heals without visible scarring when it is dermabraded into dermis, there is an advantage over other modalities. Scarring is more common when dermabrasion is performed on nonfacial areas, as evidenced in Hamm and colleagues' study. Of course, if the cutaneous manifestations of the disease are induced by systemic factors or are the result of pathologic processes extending deep into subcutaneous tissue, ablative therapies may result in either recurrence or

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