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Fractional carbon dioxide laser in recalcitrant vulval lichen sclerosus
Author(s) -
Lee Andrew,
Lim Adrian,
Fischer Gayle
Publication year - 2016
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/ajd.12305
Subject(s) - carbon dioxide laser , lichen sclerosus , medicine , dermatology , ablative case , laser therapy , topical steroid , surgery , laser , laser surgery , optics , radiation therapy , physics
Vulval lichen sclerosus is an uncommon skin condition that can usually be managed with topical corticosteroids to maintain remission. However, there is a subset of patients in whom it remains recalcitrant despite treatment with super‐potent topical corticosteroids. We report a case series of four patients undergoing fractional carbon dioxide laser resurfacing and one with ablative carbon dioxide laser for severe, hyperkeratotic vulval lichen sclerosus not responding to super‐potent topical corticosteroids. In these patients, carbon dioxide laser was successful in achieving remission. Their vulval lichen sclerosus was subsequently able to be maintained with topical corticosteroid treatment.