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KMID : 1037020140030020090
Medical Lasers; Engineering, Basic Research, and Clinical Application
2014 Volume.3 No. 2 p.90 ~ p.92
Treatment of Idiopathic Guttate Hypomelanosis with CO2 and Er:YAG Fractional Laser
Oh Eui-Hyun

Kwon Hyoung-Il
Kim Jeong-Eun
Ro Young-Suck
Ko Joo-Yeon
Abstract
Idiopathic guttate hypomelanosis (IGH) is an acquired disorder presenting with small hypopigmented macules that occur chiefly on sun exposed regions of the skin. Treatments for IGH include corticosteroid, either topical or intralesional, topical retinoid, topical calcineurin inhibitors and surgical techniques. A 40-year-old Korean female patient presented with hypopigmented and depigmented macules with discrete circumscribed borders on her lower legs for several years. She was diagnosed with IGH and treated with carbon dioxide (CO2) fractional laser (FL) on the lesion of the right popliteal fossa and Erbium-doped Yttrium Aluminium Garnet (Er:YAG) FL on the lesion of the right thigh. After four sessions of treatments at 4-week intervals, she had achieved good cosmetic results without side effects or complications. Clinical assessment showed similar outcomes of two IGH lesions treated with Er:YAG FL and CO2 FL. Accordingly, we suggest that FL could be considered as a therapeutic option for treatment of IGH.
KEYWORD
CO2 Fractional laser, Er:YAG Fractional laser, Idiopathic guttate hypomelanosis
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