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Therapeutic endpoint determination using dermoscopy in pyogenic granuloma treatment with a pulsed dye laser in Republic of Korea: a case report

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초록

The most common benign vascular tumor, pyogenic granuloma (PG), does not resolve spontaneously. While the treatment parameters used for pulsed dye lasers (PDLs) are well-known, no objective therapeutic endpoint associated with PDL therapy in PG has been established. In the current study, three cases of PG were treated with a PDL using a 7-mm spot size, 2-6 ms pulse duration, and radiant exposure of 7-9 J/cm2 with level 1 air cooling. Dermoscopic examination immediately after PDL treatment revealed that the therapeutic endpoints of PDL were a newly appearing dusky violaceous area, an expanding whitish homogeneous area, and a focal crusted rupture. The successful treatment of the lesions indicates the potential application of dermoscopy to determine therapeutic endpoints when treating PG with PDL.

Abstract

The most common benign vascular tumor, pyogenic granuloma (PG), does not resolve spontaneously. While the treatment parameters used for pulsed dye lasers (PDLs) are well-known, no objective therapeutic endpoint associated with PDL therapy in PG has been established. In the current study, three cases of PG were treated with a PDL using a 7-mm spot size, 2-6 ms pulse duration, and radiant exposure of 7-9 J/cm2 with level 1 air cooling. Dermoscopic examination immediately after PDL treatment revealed that the therapeutic endpoints of PDL were a newly appearing dusky violaceous area, an expanding whitish homogeneous area, and a focal crusted rupture. The successful treatment of the lesions indicates the potential application of dermoscopy to determine therapeutic endpoints when treating PG with PDL.

참고문헌 (10)

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  7. Goldberg DJ, "Pyogenic granuloma in children. Treatment with the flashlamp-pumped pulsed dye laser", J Dermatol Surg Oncol, 17, pp.960~962 (1991)
  8. González S, "Treatment of pyogenic granulomas with the 585 nm pulsed dye laser", J Am Acad Dermatol, 35(3 Pt 1), pp.428~431 (1996)
  9. Sud AR, "Pyogenic granuloma-treatment by shaveexcision and", or pulsed-dye laser, 2010, pp.63, 1364~1368
  10. Zaballos P, "Dermoscopy of pyogenic granuloma : a morphological study", Br J Dermatol, 163, pp.1229~1237 (2010)

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