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Wu JP, Dong LP, Lu XY, Ge HS, Zhang L, Xiao FL. Treatment of pyogenic granuloma in children with a 595 nm pulsed dye laser: A retrospective study of 212 patients. Lasers Surg Med 2022; 54:835-840. [PMID: 35395702 DOI: 10.1002/lsm.23545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Revised: 03/15/2022] [Accepted: 03/24/2022] [Indexed: 11/10/2022]
Abstract
BACKGROUND Pyogenic granuloma (PG) is a common vascular neoplasm in children. Data on 595 nm pulsed dye lasers for the treatment of PG in children remain scarce. OBJECTIVE To summarize the clinical characteristics and to evaluate the effectiveness and safety of the 595 nm pulsed dye laser for the treatment of PG in children. STUDY DESIGN Retrospective case series. METHODS A retrospective study was performed on 212 patients treated for PG with a 595 nm pulsed dye laser. SPSS version 19.0 was used for statistical analysis. RESULTS Among all 212 patients treated, 208 showed complete resolution of the lesion, and 4 dropped out after one treatment due to bleeding. A single treatment was sufficient in 139 (66.8%) patients, while two or three treatments were sufficient in 69 (33.2%) patients. Male patients responded better than female patients (χ2 = 7.603, p =0.006). Lesions in the nonorbital region responded better than those in the orbital region (χ2 = 7.445, p =0.006). The size of the lesion affected the effectiveness, and lesions with smaller diameters (t = -5.776, p <0.01) and heights (t = -10.368, p <0.01) showed better results. COMPLICATIONS AND SIDE EFFECTS Twelve patients (5.8%) were reported to have local complications and side effects, including edematous erythema, slight bleeding, hyperpigmentation, and hypopigmentation. The edematous erythema and slight bleeding disappeared gradually after several days. The localized pigment changes usually resolved spontaneously and disappeared completely after 6 months. CONCLUSIONS Our experience confirmed the efficacy and safety of the 595 nm pulsed dye laser for the treatment of PG in children.
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Affiliation(s)
- Jian-Ping Wu
- Department of Dermatology, First Affiliated Hospital, and Institute of Dermatology, Anhui Medical University, Hefei, China.,Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China.,Department of Dermatology, Anhui Provincial Children's Hospital, Children's Hospital of Anhui Medical University, Hefei, China
| | - Li-Ping Dong
- Department of Dermatology, First Affiliated Hospital, and Institute of Dermatology, Anhui Medical University, Hefei, China.,Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China
| | - Xiao-Yun Lu
- Department of Dermatology, First Affiliated Hospital, and Institute of Dermatology, Anhui Medical University, Hefei, China.,Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China
| | - Hong-Song Ge
- Department of Dermatology, Anhui Provincial Children's Hospital, Children's Hospital of Anhui Medical University, Hefei, China
| | - Li Zhang
- Department of Dermatology, Anhui Provincial Children's Hospital, Children's Hospital of Anhui Medical University, Hefei, China
| | - Feng-Li Xiao
- Department of Dermatology, First Affiliated Hospital, and Institute of Dermatology, Anhui Medical University, Hefei, China.,Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China.,The Center for Scientific Research, Anhui Medical University, Hefei, China
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Butacu AI, Negulet IE, Boieriu ED, Dinu IS, Mihalache A, Mastalier B, Salavastru CM, Fritz K, Tiplica GS. [The most common benign cutaneous neoplasms of vascular, muscular, and adipose tissue and their treatment]. Hautarzt 2022; 73:104-113. [PMID: 35041024 DOI: 10.1007/s00105-021-04926-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/26/2021] [Indexed: 11/30/2022]
Abstract
Benign cutaneous vascular and cutaneous neoplasms arising from muscle or adipose tissue are rare. Their definition and classification are still controversially discussed. Histopathological and immunohistochemical studies, together with the new genetic tests, contribute significantly to the correct description of the various benign neoplasms of cutaneous origin. Clarifying whether a lesion is benign is fundamental for prognosis and therapeutic management. In most cases, surgical excision is the treatment of choice. Dermatologists should be familiar with the classifications of the most common benign cutaneous neoplasms of vascular, muscular, and adipose tissue and be able to recommend the procedures currently used for an accurate diagnosis. Ensuring that a lesion is benign and a good surgical outcome are essential for the patient.
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Affiliation(s)
- Alexandra-Irina Butacu
- Dermatologie II, Colentina Klinik, Carol-Davila-Universität für Medizin und Pharmazie, Bukarest, Rumänien
| | - Iulia-Elena Negulet
- Dermatologie II, Colentina Klinik, Carol-Davila-Universität für Medizin und Pharmazie, Bukarest, Rumänien
| | - Emanuela-Domnica Boieriu
- Dermatologie II, Colentina Klinik, Carol-Davila-Universität für Medizin und Pharmazie, Bukarest, Rumänien
| | - Ioana-Simona Dinu
- Dermatologie II, Colentina Klinik, Carol-Davila-Universität für Medizin und Pharmazie, Bukarest, Rumänien
| | | | - Bogdan Mastalier
- Chirurgie I, Colentina Klinik, Carol-Davila-Universität für Medizin und Pharmazie, Stefan cel Mare Street, 19-21, 020125, Bukarest, Rumänien.
| | - Carmen Maria Salavastru
- Pädiatrische Dermatologie, Institut für Dermatoonkologische Forschung, Colentina Klinik, Carol-Davila-Universität für Medizin und Pharmazie, Bukarest, Rumänien
| | - Klaus Fritz
- Dermatologie II, Colentina Klinik, Carol-Davila-Universität für Medizin und Pharmazie, Bukarest, Rumänien
| | - George-Sorin Tiplica
- Dermatologie II, Colentina Klinik, Carol-Davila-Universität für Medizin und Pharmazie, Bukarest, Rumänien
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