Ozone therapy as a novel complementary therapeutic approach in refractory idiopathic granulomatous mastitis

Background: Autoimmunity may play a major role in the pathogenesis of idiopathic granulomatous mastitis (IGM). The therapeutic potential of ozone therapy has recently been shown in rheumatological diseases, and this study aimed to assess the clinical efficacy of ozone therapy (OT) in refractory IGM. Methods: Patients with biopsy-verified IGM and incomplete response after steroid therapy (n = 47) between 2018 and 2021 were enrolled. Of these, 23 cases in cohort A had standard treatment with further steroid therapy (ST), and 24 were treated with systemic OT via autohemotherapy (AHT) in addition to steroid therapy (cohort B). Results: The median age was 33 years (range, 24–45). Patients in cohort B had a higher complete response rate after completion of a four-month ozone therapy than those in the ST-group (OT-group, 37.5% vs. ST-group, 0%; p = 0.002). At a median follow-up of 12 months (range, 12–35), the patients treated with OT had a lower one-year recurrence in the affected breast than cases in cohort A treated with ST (OT-group, 21% vs. ST-group, 70%; p = 0.001). No significant side effects were observed in patients in cohort B related to AHT. Furthermore, OT significantly decreased the total steroid treatment duration (median week of steroid use; 26 weeks in cohort A vs. 12 weeks in cohort B; p = 0.001). Conclusion: Systemic OT increases the complete response rate and decreases the duration of steroid treatment in patients with refractory IGM. Therefore, ozone therapy is an effective, well-tolerated, and safe novel complementary therapeutic modality.Istanbul Breast Societ

Electrospun Polyvinyl borate/Poly(methyl methacrylate) (PVB/PMMA) Blend Nanofibers

The aim of this study was to prepare polyvinyl borate (PVB)/poly(methyl methacrylate) (PMMA) blend nanofibers by electrospinning process. Polyvinyl borate was synthesized by the condensation reaction of polyvinyl alcohol and boric acid. FTIR analyses showed that boron atoms were found to be integrated into the polymer network. Blending PMMA with PVB decreased the fiber diameter and enhanced the surface roughness of PVB/PMMA blend nanofiber mats. The water wetting property of the nanofiber mats was influenced by the surface roughness. The blend composition with the highest polyvinyl borate content was found to be suitable for thermally stable nanofiber formation

Ozone therapy as a novel potential approach in patients with severe granulomatous mastitis is associated with an improved T-helper-1 response

..

Efficacy of ozone therapy as a novel potential therapeutic approach in severe granulomatous mastitis

..