The Successful Treatment of Schamberg's Disease with the 595 nm Vascular Laser

D’Ambrosia, Renee; Rajpara, Vidya; Glogau, Richard G.

doi:10.1111/j.1524-4725.2010.01822.x

Cited by 11 publications

(9 citation statements)

References 7 publications

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“…Anecdotal improvement for LA has been reported with psoralen plus ultraviolet A (PUVA), pentoxifylline and prostacyclin (PGI 2 ), among other therapies for PPDs such as topical corticosteroids, narrowband UVB, and ascorbic acid . To our knowledge, this is the second case in literature to report the successful use of PDL for LA and the third for PPDs …”

Section: Discussionmentioning

confidence: 81%

A case of lichen aureus successfully treated with 595 nm wavelength pulsed‐dye laser

Jauregui¹,

Zaldo²,

Rivera³

et al. 2019

J of Cosmetic Dermatology

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Background Lichen aureus (LA) is a variant of pigmented purpuric dermatosis (PPDs) that typically presents with the acute onset of a solitary, unilateral, purple to rust‐yellow colored lichenoid patch or plaque on lower extremities. Treatment remains challenging and is based on anecdotal case reports often with poor results. Aims Describe a case of LA successfully treated with 595 nm wavelength pulsed‐dye laser (PDL). Patient/method A 46‐year‐old woman with segmental LA was treated using a 595 nm PDL at a uniform spot size of 10 mm, with pulse durations of 10 milliseconds and fluence of 6 J/cm2. The patient had received previous treatments with no improvement. Results Clearance was archived after three sessions with PDL. Sessions were performed at intervals of 4 weeks, with no serious adverse events nor recurrence. Conclusion We hypothesize the favorable clinical outcome with PDL is due to the affinity of the wavelength for oxyhemoglobin (allowing uniform vessel penetration and energy delivery to fragile capillaries and intraluminal blood) and to its anti‐inflammatory profile. PDL seems to be an alternative for patients with progressive LA that have failed other therapies.

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Section: Discussionmentioning

confidence: 81%

A case of lichen aureus successfully treated with 595 nm wavelength pulsed‐dye laser

Jauregui¹,

Zaldo²,

Rivera³

et al. 2019

J of Cosmetic Dermatology

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“…Phototherapy with psoralens plus ultraviolet A light (PUVA) or with narrowband UVB are considered as therapeutic alternatives for extensive PPPD . Furthermore, there are case reports on treatment of PPPD with topical pimecrolimus , calcium dobesilate , aminaphtone , griseofulvin , colchicine , photodynamic therapy and vascular laser , as well as with immunosuppressants including cyclosporine and methotrexate .…”

Section: Discussionmentioning

confidence: 99%

Early treatment with rutoside and ascorbic acid is highly effective for progressive pigmented purpuric dermatosis

Schober

Peitsch

Bonsmann

et al. 2014

J Deutsche Derma Gesell

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“…Finally, another valid option is laser-therapy. In particular, 595-vascular laser proved to be effective in Schamberg disease [ 46 ]. Other reports suggest the positive role of fractional non-ablative 1540 nm erbium with 4 monthly sessions in Schamberg disease [ 47 ].…”

Section: Therapymentioning

confidence: 99%

Pigmented Purpuric Dermatoses: A Complete Narrative Review

Spigariolo

Giacalone

Nazzaro

2021

JCM

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Pigmented purpuric dermatoses (PPD) include several skin diseases characterized by multiple petechial hemorrhage as consequence of capillaritis. PPD generally present with red to purple macules that progressively evolve to golden-brown color as the hemosiderin is reabsorbed. These lesions, often asymptomatic or associated with mild pruritus, usually occur on the lower extremities and may be a diagnostic and therapeutic challenge both for general practitioners and specialists in internal medicine or flebology. Clinical presentations include many subtypes that have been described over the years, although histology is usually superimposable. Prompt recognition and patient reassurance on the benign nature of these diseases is crucial. In this comprehensive review, we focused on pathogenesis and clinical pictures.

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The Successful Treatment of Schamberg's Disease with the 595 nm Vascular Laser

Abstract: The authors have indicated no significant interest with commercial supporters.

Cited by 11 publications

References 7 publications

A case of lichen aureus successfully treated with 595 nm wavelength pulsed‐dye laser

A case of lichen aureus successfully treated with 595 nm wavelength pulsed‐dye laser

Early treatment with rutoside and ascorbic acid is highly effective for progressive pigmented purpuric dermatosis

Pigmented Purpuric Dermatoses: A Complete Narrative Review

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