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KMID : 1037020230120010059
Medical Lasers; Engineering, Basic Research, and Clinical Application
2023 Volume.12 No. 1 p.59 ~ p.63
Therapeutic endpoint determination using dermoscopy in pyogenic granuloma treatment with a pulsed dye laser in Republic of Korea: a case report
Cha Bo-Bin

Kim Won-Serk
Choi Young-Jun
Abstract
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.
KEYWORD
Dermoscopy, Dye lasers, Endpoint determination, Pyogenic granuloma
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