Lichen sclerosus et atrophicus treatment with the 585-nm flashlamp-pumped pulsed dye laser

Kryochirurgie – ultima ratio oder chirurgische Alternative beim vulvären Lichen sclerosus et atrophicus (LSAV)?

“…Diese sind beim kindlichen LSAV aus vielerlei Gru Ènden jedoch kontraindiziert. Erfolge mit dem gepulsten Farbstofflaser [15] und dem CO 2 -Laser [7,11] werden in den letzten Jahren zunehmend beschrieben. U È ber Erfolge mittels photodynamischer Therapie wird 1999 berichtet [9].…”

Successful Carbon Dioxide Laser Therapy for Refractory Anogenital Lichen Sclerosus

“…Previously reported surgical options include cryosurgery, skinning vulvectomy, pulsed dye laser, and carbon dioxide laser ablation. 19,20,25 The goal of carbon dioxide laser ablation is removal of the affected tissue, which removes the epithelium and papillary dermis involved in the disease process. This allows the treated areas to reepithelialize from adjacent noninvolved epithelium and leave little to no scar formation.…”

“…[16][17][18] The use of laser therapy has been reported to treat recalcitrant vulvar diseases. 19,20 The use of the carbon dioxide laser in the treatment of balanitis xerotica obliterans has been well described. [21][22][23] Since these reports, the carbon dioxide laser has been infrequently reported to treat anogenital lichen sclerosus.…”

Treating REM syndrome with the pulsed dye laser

“…The pulsed dye laser is safe and has few side effects [13,14]. Successful treatment attempts with in¯ammatory skin diseases such as extragenital lichen sclerosus et atrophicus [19,20] and lupus erythematosus [17] are also described For the ®rst time, we introduce the treatment of REM syndrome using lasers (the pulsed dye laser in particular). Patient 1 showed no evidence of recurrence, both in the 6 years since the initial trial treatment and the 15 months after the entire area was treated.…”