Granuloma faciale treated with the pulsed-dye laser: a case series

Abstract

Granuloma faciale (GF) is a rare cutaneous condition of unknown origin with characteristic clinicopathological features. It predominantly affects the face and in some causes an unacceptable cosmetic appearance. Numerous medical and surgical treatments have been used with varying degrees of success. Several single-patient case reports have demonstrated the successful use of the pulsed dye laser (PDL) in treating GF. This study assesses the results of four patients with facial GF from one dermatological laser centre that were treated with the Candela Vbeam PDL at 595 nm. Resolution of the GF was achieved in only two of the four patients (50%). Nevertheless this study provides further evidence that the PDL can help some patients with GF. Subsequently it is still a valuable treatment option for GF, especially as it is safe, well tolerated and quick.

Pulsed Dye Laser and Pulsed Dye Laser–Mediated Photodynamic Therapy in the Treatment of Dermatologic Disorders

“…[49][50][51][52] The total number of sessions ranged from two to eight. Variable success rates have been reported with topical, intralesional, and systemic corticosteroids, dapsone, colchicine, and antimalarials.…”

Treatment of granuloma annulare with the 595‐nm pulsed dye laser, a multicentre retrospective study with long‐term follow‐up

“…Such a non‐specific but still positive effect can be observed when GA lesions are treated with applications of liquid nitrogen or when regression is observed after the biopsy of the lesions. Several case reports have suggested the potential interest of PDL for treating granuloma faciale 16–19 . Interestingly, the only case series showed improvement in only two of the four patients treated 17 .…”

Vascular Lasers

“…• Granuloma faciale -some patients with this inflammatory skin condition will respond to PDL [ 16 ].…”