Treatment of Angiokeratoma of Fordyce with Pulsed Dye Laser

Lapidoth, Moshe; Ad‐El, Dean; David, Michael; Azaria, Ron

doi:10.1111/j.1524-4725.2006.32252.x

Cited by 22 publications

(35 citation statements)

References 22 publications

(23 reference statements)

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“…If treatment is needed, locally destructive methods, including laser, electrocoagulation, excision, or cryotherapy may be used. Pulsed dye laser is effective and safe for the treatment of angiokeratoma of Fordyce, with minimum side effects, providing an additional nonablative therapeutic [11]. Evidence of associated disorders capable of increasing the scrotal or vulval venous pressure should be sought.…”

Section: Discussionmentioning

confidence: 99%

Angiokeratoma of Fordyce in man and woman — case reports

Bjekić¹,

Marković²,

Šipetić

2012

Open Medicine

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AbstractAngiokeratomas are papular vascular lesions characterized by marked ectasia of the superficial dermal blood vessels. Dermatological examination of angiokeratomas of Fordyce is characterized by papular keratotic lesions of erythematous-violet color. They are more common in the scrotum, and vulval involvement is rarely reported. This article reports the cases of angiokeratoma of Fordyce in a 25-year-old man and a 42-year-old woman. Diagnosis were made by history and physical examination. Dermoscopy has shown well-demarcated round dark lacunae in both patients. As the lesions were asymptomatic, the patients requested no further treatment.

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Section: Discussionmentioning

confidence: 99%

Angiokeratoma of Fordyce in man and woman — case reports

Bjekić¹,

Marković²,

Šipetić

2012

Open Medicine

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“…First, due to argon lasers' relatively short wavelength, only blood vessels in approximately the upper millimeter of the dermis are affected by argon laser irradiance, which may not provide adequate destruction of blood vessels (Flores et al, ). Second, PDL and KTP have safer side effect profiles (Lapidoth, Ad‐El, David, & Azaria, ). Because there is less light absorption by melanin with longer wavelengths, PDL and KTP decrease the risk of post‐treatment dyspigmentation (Pickering, Walker, Butler, & van Halewyn, ).…”

Section: Resultsmentioning

confidence: 99%

“…In general, treatment of angiokeratomas with the PDL is well tolerated. An advantage of using the PDL to treat genital angiokeratomas is that it requires minimal anesthesia, and topical agents are often sufficient (Lapidoth et al, ; Oni & Mahaffey, ). Reported adverse effects are modest and include bleeding (lasting minutes) (Lapidoth et al, ), purpura, and edema (lasting 12 hours to several days) (Su et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…An advantage of using the PDL to treat genital angiokeratomas is that it requires minimal anesthesia, and topical agents are often sufficient (Lapidoth et al, ; Oni & Mahaffey, ). Reported adverse effects are modest and include bleeding (lasting minutes) (Lapidoth et al, ), purpura, and edema (lasting 12 hours to several days) (Su et al, ). Permanent side effects may include skin pigment and texture changes (Baumgartner, Simaljakova, & Babal, ), but lower fluence settings can decrease the risk of post‐treatment dyspigmentation (Campbell, Dimitropoulos, & Brown, ).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Laser treatment of cutaneous angiokeratomas: A systematic review

Nguyen

Chapman

Korta

et al. 2017

Dermatologic Therapy

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Angiokeratomas can present therapeutic challenges, especially in cases of extensive lesions, where traditional surgical methods carry high risks of scarring and hemorrhage. Argon, pulsed dye (PDL), neodymium-doped yttrium aluminum garnet (Nd:YAG), copper vapor, potassium titanyl phosphate, carbon dioxide, and erbium-doped yttrium aluminum garnet (Er:YAG) lasers have emerged as alternative options. To review the use and efficacy of lasers in treating angiokeratomas. A PubMed search identified randomized clinical trials, cohort studies, case series, and case reports involving laser treatment of cutaneous angiokeratomas. Twenty-five studies were included. Quality ratings were assigned using the Oxford Centre for Evidence-Based Medicine scheme. Several laser modalities are effective in treating multiple variants of angiokeratomas. Vascular lasers like PDL, Nd:YAG, and argon are the most studied and of these, PDL offers the safest side effect profile. Nd:YAG may be more effective for hyperkeratotic angiokeratomas. Combination treatment with multiple laser modalities has also demonstrated some success. Lasers are a promising treatment option for angiokeratomas, but current use is limited by the lack of treatment guidelines. There are limited high quality studies comparing laser treatments to each other and to non-laser options. Additional studies are needed to establish guidelines and to optimize laser parameters.

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“…Pulsed-dye laser (585 and 595 nm) and long-pulse 1064-nm neodymium-doped yttrium-aluminum-garnet laser have been reported to give improved cosmetic results with minimal adverse reactions. 4,5 …”

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confidence: 98%