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Progressive ascending telangiectasia treated with the 585nm flashlamp‐pumped pulsed dye laser
Author(s) -
Pérez Bibiana,
Nuñez María,
Boixeda Pablo,
Harto Antonio,
Ledo Antonio
Publication year - 1997
Publication title -
lasers in surgery and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.888
H-Index - 112
eISSN - 1096-9101
pISSN - 0196-8092
DOI - 10.1002/(sici)1096-9101(1997)21:5<413::aid-lsm1>3.0.co;2-t
Subject(s) - telangiectasia , dye laser , medicine , ectasia , dermatology , laser , surgery , intense pulsed light , optics , physics
Background and Objective Progressive ascending telangiectasia (PAT) is a distinct entity with telangiectatic superficial vessels on lower extremities as its main clinical feature. A relationship with occult infections and response to antibiotic and antifungal drugs have been described, although not all cases can be successfully managed with these therapies. Our objective was to treat a woman with PAT that had failed to respond to systemic antibiotic and antifungal drugs. Study Design/Patients and Methods: A 44‐year‐old woman with PAT was treated with the flashlamp‐pumped pulsed dye laser at 585 nm, with fluences varying from 7 to 7.25 J/cm 2 . Results A successful outcome was obtained with this treatment approach, with no relevant adverse effects except for mild pigmentary changes. Conclusions Although ectatic vessels on lower extremities are often resistant to dye laser therapy, superficial thin capillaries like those featuring PAT can be eliminated with the pulsed dye laser at 585 nm. Transient pigmentary changes occur on treated areas but they are expected to disappear in 6 to 12 months after treatment. Laser treatment should be considered in PAT despite the extension and location of the lesions. Lasers Surg. Med. 21:413–416, 1997. © 1997 Wiley‐Liss Inc.