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Partial Unilateral Lentiginosis Successfully Treated with a High-fluence 1,064-nm Q-switched Neodymium:Yttrium-aluminum-garnet Laser

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초록

Partial unilateral lentiginosis (PUL) is an unusual pigmentary disorder characterized by numerous lentigines on the skin, with onset usually during early childhood. It is characterized by unilateral segmental dis-tribution with sharp margins in one or more dermatomes. Conventional laser treatments result in several adverse effects, such as mottled pigmentary changes (hyper or hypopigmentation), especially in people of Asian descent. A 57-year-old man with PUL on the neck was treated with a high-fluence 1,064-nm Q-switched (QS) neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser. After 20 treatment sessions, the lesions markedly improved without adverse effects or recurrence. We suggest that high-fluence 1,064-nm QS Nd:YAG laser treatment is an effective and safe modality for PUL.

Abstract

Partial unilateral lentiginosis (PUL) is an unusual pigmentary disorder characterized by numerous lentigines on the skin, with onset usually during early childhood. It is characterized by unilateral segmental dis-tribution with sharp margins in one or more dermatomes. Conventional laser treatments result in several adverse effects, such as mottled pigmentary changes (hyper or hypopigmentation), especially in people of Asian descent. A 57-year-old man with PUL on the neck was treated with a high-fluence 1,064-nm Q-switched (QS) neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser. After 20 treatment sessions, the lesions markedly improved without adverse effects or recurrence. We suggest that high-fluence 1,064-nm QS Nd:YAG laser treatment is an effective and safe modality for PUL.

참고문헌 (9)

  1. Trattner A, "Partial unilateral lentiginosis", J Am Acad Dermatol, 29(5 Pt 1), pp.693~695 (1993)
  2. Kim EH, "A case of facial partial unilateral lentiginosis treated with low-fluence 1, 064 nm Q-switched neodymium-doped yttrium aluminum garnet laser", Case Rep Dermatol, 9, pp.30~34 (2017)
  3. Pickering JG, "Partial unilateral lentiginosis with associated developmental abnormalities", Guys Hosp Rep, 122, pp.361~370 (1973)
  4. Baek JO, "Highfluence 1064-nm Q-switched Nd : YAG laser : safe and effective treatment of café-au-lait macules in Asian patients", J Cosmet Dermatol, 17, pp.380~384 (2018)
  5. Kim HR, "A lowfluence 1064-nm Q-switched neodymium-doped yttrium aluminium garnet laser for the treatment of café-au-lait macules", J Am Acad Dermatol, 73, pp.477~483 (2015)
  6. Kim J, "Treatment of café-aulait macules with a high-fluenced 1064-nm Q-switched neodymium : yttrium aluminum garnet laser", J Cosmet Laser Ther, 20, pp.17~20 (2018)
  7. Okazaki M, "The mechanism of epidermal hyperpigmentation in caféau-lait macules of neurofibromatosis type 1(von Recklinghausen's disease)may be associated with dermal fibroblastderived stem cell factor and hepatocyte growth factor", Br J Dermatol, 148, pp.689~697 (2003)
  8. Okazaki M, "Epidermal hyperpigmentation in non-syndromic solitary cafeau-lait macules may be associated with increased secretion of endothelin-1 by lesional keratinocytes", Scand J Plast Reconstr Surg Hand Surg, 39, pp.213~217 (2005)
  9. Kim MJ, "Punctate leucoderma after melasma treatment using 1064-nm Q-switched Nd : YAG laser with low pulse energy", J Eur Acad Dermatol Venereol, 23, pp.960~962 (2009)

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