Atrophoderma Vermiculata Successfully Treated by 595 nm Dye Laser and Carbon Dioxide Laser英文文献资料.docVIP

Journal of Cosmetics, Dermatological Sciences and Applications, 2012, 2, 130-131 /10.4236/jcdsa.2012.23025 Published Online September 2012 (http://www.SciRP.org/journal/jcdsa) Atrophoderma Vermiculata Successfully Treated by 595 nm Dye Laser and Carbon Dioxide Laser Hidetoshi Takahashi , Yoshio Hashimoto, Masuru Honma, Akemi Ishida-Yamamoto, Hajime Iizuka * Department of Dermatology, Asahikawa Medical University, Asahikawa, Japan. * Email: ht@asahikawa-med.ac.jp Received April 23 , 2012; revised May 26 , 2012; accepted June 10 , 2012 rd th th ABSTRACT The treatment of atrophoderma vermiculatum is challenging. A 7-year-old girl had a unilateral atrophic skin lesion on her right cheek, which was diagnosed as unilateral atrophoderma vermiculata. She was treated by carbon dioxide and 595 nm pulsed dye laser and carbon dioxide laser. This resulted in prevention of the lesional progression with favorable cosmetic appearance of the skin. Keywords: Atrophoderma Vermiculata; Dyed Laser; Carbon Dioxide Laser 1. Introduction tory follicular atrophy that mainly affects cheeks of chil- dren. Clinical morphological hallmark is “worm-eaten” or “honey-combed” reticular atrophy. The pathogenesis is speculated as an abnormal keratinozatation of pilose- baceous units [1]. Atrophoderma vermiculatum usually affects both cheeks and only 3 cases of unilateral atro- phoderma vermiculatum have been reported [2-4]. Hsu et al. [2] reported a case associated with ipsilaretal cataract, alopecia, and a seizure. This suggests that some type of atrophoderma vermiculatum should be regarded as a neurocutaneous syndrome such as seen in epidermal ne- vus and nevus comedonicus. The treatment of atrophoderma vermiculatun is chal- lenging. Previous reports showed the effectiveness of systemic isotretinoin or topical tretionin [5