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Pulsed dye laser treatment for facial flat warts
Author(s) -
Grillo E.,
Boixeda P.,
Ballester A.,
MiguelMorrondo A.,
Truchuelo T.,
Jaén P.
Publication year - 2013
Publication title -
dermatologic therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.595
H-Index - 68
eISSN - 1529-8019
pISSN - 1396-0296
DOI - 10.1111/dth.12038
Subject(s) - medicine , cryotherapy , dermatology , scars , imiquimod , photodynamic therapy , intense pulsed light , laser therapy , surgery , laser , optics , chemistry , physics , organic chemistry
The facial flat wart is not only a contagious viral disease, but also a cause of a distressing cosmetic problem. Although there are many therapeutic options, including salicylic acid, imiquimod, cryotherapy, retinoids, intralesional immunotherapy, and topical 5‐aminolevulinic acid photodynamic therapy among others, no monotherapy has been proved to achieve complete remission in every case. Treatment with pulsed dye laser ( PDL ) seems to be a promising therapeutic option. To assess the efficacy and safety of PDL in a series of patients with viral flat warts on the face, in this prospective study, 32 patients were treated with PDL at 595‐nm wavelength, a laser energy density of 9 or 14 J /cm 2 with a spot size of 7 or 5 mm, respectively, with air cooling and a pulse duration of 0.5 millisecond. A complete response was noted in 14 patients (44%), and an excellent response was observed in 18 patients (56%) with 1‐year follow‐up, with only four recurrences. No significant side effects were reported except intense transitory purpuric response. We consider that PDL is a good option of treatment for flat warts on the face due to its good clinical results, fast response, and low incidence of side effects.