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Macular Pigmentation Following Low Fluence Nd:YAG Laser Procedure at Sites of Gold Thread Implantation

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주제분류피부과학

초록

Use of gold thread rejuvenation and Q-switched low fluence neodymium-doped yttrium aluminum garnet (Nd:YAG) laser treatments have become a recent fashion trend in the skin care industry, and are frequently used for skin care management. Although the efficacy and side effects of the individual procedures have been well documented, the combined effects of the two treatments have not been reported. We describe a unique case of macular pigmentation on the face, resulting from the low fluence (3 J/cm2) Nd:YAG laser procedure solely at the sites of gold thread implantation. A skin biopsy revealed rod-shaped foreign material and tiny golden colored granules surrounded by minor inflammatory infiltrates. Therefore, the use of a Nd:YAG laser at a specific wavelength (potentially 1064 nm) may trigger macular pigmentation when in contact with pre-implanted gold threads by as yet unknown mechanism

Abstract

Use of gold thread rejuvenation and Q-switched low fluence neodymium-doped yttrium aluminum garnet (Nd:YAG) laser treatments have become a recent fashion trend in the skin care industry, and are frequently used for skin care management. Although the efficacy and side effects of the individual procedures have been well documented, the combined effects of the two treatments have not been reported. We describe a unique case of macular pigmentation on the face, resulting from the low fluence (3 J/cm2) Nd:YAG laser procedure solely at the sites of gold thread implantation. A skin biopsy revealed rod-shaped foreign material and tiny golden colored granules surrounded by minor inflammatory infiltrates. Therefore, the use of a Nd:YAG laser at a specific wavelength (potentially 1064 nm) may trigger macular pigmentation when in contact with pre-implanted gold threads by as yet unknown mechanism

참고문헌 (8)

  1. Kee Cheol Shin, "Usefulness of Gold Thread Implantation for Crow’s Feet", Archives of Plastic Surgery, 39(1), pp.42~45 (2012), 대한성형외과학회
  2. Armstrong DK, "Granulomatous contact dermatitis due to gold earrings", Br J Dermatol, 136, pp.776~778 (1997)
  3. Rondo Júnior W, "Histologic study of the skin with gold thread implantation", Plast Reconstr Surg, 97, pp.256~258 (1996)
  4. Moulonguet I, "Histopathologic and ultrastructural features of gold thread implanted in the skin for facial rejuvenation", Am J Dermatopathol, 37, pp.773~777 (2015)
  5. Kim KJ, "CD30-positive T-cell-rich pseudolymphoma induced by gold acupuncture", Br J Dermatol, 146, pp.882~884 (2002)
  6. Seok J, "Multiple papular eruptions at insertion site of gold-coated polydioxanone thread", Dermatol ther, 30, pp.e12416~ (2017)
  7. Xing L, "Nd : YAG laser-induced morphology change and photothermal conversion of gold nanorods with potential application in the treatment of port-wine stain", Lasers Med Sci, 32, pp.629~640 (2017)
  8. Chung WK, "Paradoxical darkening of unperceived tattoo ink after relatively low fluence from a Q-switched Nd : YAG(1064-nm)laser in the course of treatment for melasma", Clin Exp Dermatol, 34, pp.e555~557 (2009)

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