Fractional carbon dioxide laser in recalcitrant vulval lichen sclerosus

The Australasian Journal of Dermatology
Andrew LeeG Fischer

Abstract

Vulval lichen sclerosus is an uncommon skin condition that can usually be managed with topical corticosteroids to maintain remission. However, there is a subset of patients in whom it remains recalcitrant despite treatment with super-potent topical corticosteroids. We report a case series of four patients undergoing fractional carbon dioxide laser resurfacing and one with ablative carbon dioxide laser for severe, hyperkeratotic vulval lichen sclerosus not responding to super-potent topical corticosteroids. In these patients, carbon dioxide laser was successful in achieving remission. Their vulval lichen sclerosus was subsequently able to be maintained with topical corticosteroid treatment.

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Citations

Feb 22, 2017·Lasers in Surgery and Medicine·Yona TadirJohn Stuart Nelson
Jul 1, 2017·The Australasian Journal of Dermatology·Massimo Origoni
Jul 28, 2018·Journal of the European Academy of Dermatology and Venereology : JEADV·M TedescoA Morrone
Nov 28, 2018·Journal of Managed Care & Specialty Pharmacy·Nathaniel HendrixDavid L Veenstra
Jan 18, 2018·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·G Kirtschig
Feb 19, 2020·Journal of Lower Genital Tract Disease·Divya Balchander, Paul Nyirjesy
Jul 10, 2020·The Journal of Dermatological Treatment·Francesca FerraraFederico Bardazzi
Jul 11, 2018·American Journal of Clinical Dermatology·Andrew Lee, Gayle Fischer
Aug 28, 2020·Curēus·Michael PhanRamon Sanchez
May 7, 2021·Obstetrics and Gynecology·Melissa M Mauskar
Sep 21, 2021·Lasers in Surgery and Medicine·Kristen StewartNancy A Carlson
Apr 30, 2021·Italian Journal of Dermatology and Venereology·Manuela PapiniUNKNOWN Mucous Membrane Disorders Research Group of SIDeMaST
Apr 15, 2019·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Urška Bizjak OgrincAdolf Lukanović

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