Barolet Augustin C, Litvinov Ivan V, Barolet Daniel
Department of Surgery, Experimental Surgery Graduate Training Program, McGill University, Montreal, QC, Canada.
Division of Dermatology, McGill University Health Centre, Montreal, QC, Canada.
SAGE Open Med Case Rep. 2020 Mar 4;8:2050313X20910562. doi: 10.1177/2050313X20910562. eCollection 2020.
Facial multiple miliary osteoma cutis is a variant of osteoma cutis usually occurring in women with a previous history of acne vulgaris. Successful ablative laser treatment has been reported using both CO2 and Er:YAG lasers among other invasive treatment modalities, like surgical removal. We report a patient with biopsy-proven facial multiple miliary osteoma cutis responding to non-ablative Q-switched Nd:YAG laser therapy. The patient had excellent cosmesis without textural changes or hypopigmentation despite her Asian background after three sessions over 6 months. Multiple miliary osteoma cutis is therefore now amenable to non-surgical non-ablative therapy by using Q-switched Nd:YAG laser therapy reducing the risk of textural changes and hypopigmentation, especially in dark complexion and high-risk individuals. To our knowledge, this treatment approach has not been previously reported.
面部多发性粟丘疹样皮肤骨瘤是皮肤骨瘤的一种变体，通常发生在有寻常痤疮病史的女性中。据报道，除了手术切除等其他侵入性治疗方式外，使用二氧化碳激光和铒钇铝石榴石激光进行剥脱性激光治疗均取得了成功。我们报告了一名经活检证实为面部多发性粟丘疹样皮肤骨瘤的患者，其对非剥脱性调Q开关钕钇铝石榴石激光治疗有反应。尽管该患者为亚洲人肤色，但在6个月内进行了三次治疗后，其美容效果极佳，没有出现质地改变或色素减退。因此，通过使用调Q开关钕钇铝石榴石激光治疗，多发性粟丘疹样皮肤骨瘤现在可以接受非手术非剥脱性治疗，从而降低了质地改变和色素减退的风险，特别是在肤色较深和高危个体中。据我们所知，这种治疗方法此前尚未见报道。
