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Angiolymphoid hyperplasia with eosinophilia treated with vascular laser

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Abstract

Background

Angiolymphoid hyperplasia with eosinophilia is a rare, benign disorder characterized by reddish-brown nodules and plaques in the dermis and the subcutaneous tissues, typically occurring on the neck and head. Surgical excision, corticosteroids, radiotherapy, and other therapies have been used, however, recurrences are common. Treatment with vascular lasers such as pulsed dye laser (PDL) or Nd:YAG seems to be a promising therapeutic option.

Objective

To assess the efficacy and safety of PDL and combined sequential PDL-Nd:YAG laser in patients with ALHE.

Methods

Three patients with ALHE were treated with PDL at 595-nm wavelength or with a combined sequential application of 595-nm PDL and 1,064-nm Nd:YAG wavelengths. Topical anesthetic was applied before laser treatment.

Results

Complete resolution of the lesions was achieved in two patients with ALHE; a partial response was seen in one patient. No significant side-effects were reported.

Conclusions

We consider that PDL should be a first-line therapy for AHLE. Sequential application of PDL and Nd:YAG laser seems to show promising results, so it could be an interesting new treatment option.

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Authors and Affiliations

  1. Dermatology Department, Ramón y Cajal Hospital, Carretera Colmenar km 9.1, 28034, Madrid, Spain

    Javier Alcántara González, Pablo Boixeda, María Teresa Truchuelo Díez, Bibiana Pérez García & Pedro Jaén Olasolo

  2. Ramon y Cajal University Hospital, Plaza de Europa, portal 23, piso 2º izquierda. Torrejón de Ardoz, 28850, Madrid, Spain

    Javier Alcántara González

Authors
  1. Javier Alcántara González
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  2. Pablo Boixeda
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  3. María Teresa Truchuelo Díez
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  4. Bibiana Pérez García
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  5. Pedro Jaén Olasolo
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Correspondence to Javier Alcántara González.

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Alcántara González, J., Boixeda, P., Truchuelo Díez, M.T. et al. Angiolymphoid hyperplasia with eosinophilia treated with vascular laser. Lasers Med Sci 26, 285–290 (2011). https://doi.org/10.1007/s10103-011-0892-3

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  • DOI: https://doi.org/10.1007/s10103-011-0892-3

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