Vibra-puncture technique in the treatment of localized neurodermatitis; a preliminary study on the effect of hydrocortisone acetate injected by the multiple Vibra-puncture method into areas of lichen simplex chronicus.

Abstract

The purpose of this preliminary report is to demonstrate a new, simple, and effective method of therapy for lichen simplex chronicus (localized neurodermatitis). We were prompted to use the vibra-puncture technique for this chronic type of dermatitis after our successful results with the injection of hydrocortisone acetate by use of the syringe and needle technique. Since this work was started, Dr. Leonard E. Savitt1has also reported on the successful treatment of lichen simplex chronicus and other conditions by the local injection of hydrocortisone acetate. Like Dr. Savitt, we also found that hydrocortisone acetate, when injected into the area of dermatitis, appeared to have a prolonged local anti-inflammatory effect. However, certain disadvantages were found inherent in this technique. In thickened, lichenified areas it was difficult to inject the solution superficially because of the resistance offered by the epidermis and the dermis.