Eccrine syringofibroadenoma treated with a dual pulse width flashlamp pumped pulsed dye laser.

BACKGROUND

Eccrine syringofibroadenoma is a rare benign eccrine ductal proliferation with a predilection for the extremities, most often found in middle-aged and elderly patients. Reported treatments have included excision and conventional destructive modalities; however, recurrences may be common.

OBJECTIVE

We describe a patient with a chronic ulcerated verrucoid eccrine syringofibroadenoma that persisted despite cryotherapy or curettage and electrodessication.

RESULTS

Treatment with a dual pulse width flashlamp pumped pulsed dye laser (FPDL) produced an excellent clinical response.

CONCLUSION

Treatment of eccrine syringofibroadenoma with a FPDL may provide both a vascular specific injury, analogous to the treatment of verruca vulgaris, and nonspecific thermal destruction at high fluences.