KMID : 1037020230120010059
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Medical Lasers; Engineering, Basic Research, and Clinical Application 2023 Volume.12 No. 1 p.59 ~ p.63
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Therapeutic endpoint determination using dermoscopy in pyogenic granuloma treatment with a pulsed dye laser in Republic of Korea: a case report
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Cha Bo-Bin
Kim Won-Serk Choi Young-Jun
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Abstract
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The most common benign vascular tumor, pyogenic granuloma (PG), does not resolve spontaneously. While the treatment parameters used for pulsed dye lasers (PDLs) are well-known, no objective therapeutic endpoint associated with PDL therapy in PG has been established. In the current study, three cases of PG were treated with a PDL using a 7-mm spot size, 2-6 ms pulse duration, and radiant exposure of 7-9 J/cm2 with level 1 air cooling. Dermoscopic examination immediately after PDL treatment revealed that the therapeutic endpoints of PDL were a newly appearing dusky violaceous area, an expanding whitish homogeneous area, and a focal crusted rupture. The successful treatment of the lesions indicates the potential application of dermoscopy to determine therapeutic endpoints when treating PG with PDL.
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KEYWORD
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Dermoscopy, Dye lasers, Endpoint determination, Pyogenic granuloma
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