Successful Carbon Dioxide Laser Therapy for Refractory Anogenital Lichen Sclerosus

BACKGROUNDLichen sclerosus is a chronic inflammatory dermatitis that often occurs in the anogenital area and presents a therapeutic challenge. Traditional medical management includes potent topical corticosteroids and is marked by variable results. OBJECTIVEThe objective was to describe the successf...

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Bibliographic Details
Published in:Dermatologic surgery 2004-08, Vol.30 (8), p.1148-1151
Main Authors: PETERSON, CHRISTOPHER M, LANE, JOSHUA E, RATZ, JOHN L
Format: Article
Language:English
Subjects:
Anus Diseases - pathology
Anus Diseases - surgery
Biological and medical sciences
Carbon Dioxide
Dermatology
Female
General aspects
Humans
Laser Therapy
Lichen Sclerosus et Atrophicus - pathology
Lichen Sclerosus et Atrophicus - surgery
Medical sciences
Middle Aged
Psoriasis. Parapsoriasis. Lichen
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Vulvar Diseases - pathology
Vulvar Diseases - surgery
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Summary:BACKGROUNDLichen sclerosus is a chronic inflammatory dermatitis that often occurs in the anogenital area and presents a therapeutic challenge. Traditional medical management includes potent topical corticosteroids and is marked by variable results. OBJECTIVEThe objective was to describe the successful use of carbon dioxide laser ablation therapy in two women with refractory anogenital lichen sclerosus. METHODSA case is reported and the literature is reviewed. RESULTSTwo women with medically recalcitrant anogenital lichen sclerosus were successfully treated with the carbon dioxide laser. Both patients tolerated the procedure well and had excellent surgical outcomes. CONCLUSIONLichen sclerosus recalcitrant to medical therapy presents a therapeutic challenge This may be successfully treated with the carbon dioxide laser with excellent surgical results and minimal risk.
ISSN:1076-0512
1524-4725
DOI:10.1097/00042728-200408000-00016