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消融激光换肤术后爆发性丘疹的自发消退——病例报告和激光相关的爆发性角化棘皮瘤综述。

Spontaneous resolution of eruptive papules following ablative laser resurfacing-Case report and review of laser-associated eruptive keratoacanthomas.

机构信息

Division of Dermatology, McGill University, Montréal, Québec, Canada.

AboutSkin Dermatology and Derm Surgery, Greenwood Village, Colorado, USA.

出版信息

J Cosmet Dermatol. 2024 Jun;23(6):1936-1939. doi: 10.1111/jocd.16182. Epub 2024 Apr 4.

Abstract

BACKGROUND

Keratoacanthomas (KAs) following laser treatment are a rare, but well-described entity.

AIM

Herein, we describe a case of eruptive keratoacanthoma (KA) following laser resurfacing treatment and aim to better characterize laser-associated KAs.

METHODS

A literature search was performed on PubMed reviewing laser-associated KAs including various characteristics: epidemiology, history of skin cancer, location, and number, type of laser, as well as the management and outcome.

RESULTS

Fractional ablative was the most common type of laser triggering KAs, and most cases presented within the first month following treatment. The majority of cases of laser-induced KA had a prior history of a malignant or premalignant skin neoplasm. Laser-induced KAs were treated using modalities similar to KAs arising in other contexts.

CONCLUSION

Clinicians need to be knowledgeable and prepared to understand, and manage complications following laser treatments, as rare as they may be, including KAs.

摘要

背景

激光治疗后的角化棘皮瘤(KA)是一种罕见但已有明确描述的疾病。

目的

本文描述了一例激光换肤治疗后爆发性角化棘皮瘤(KA)病例,并旨在更好地描述与激光相关的 KA。

方法

通过对 PubMed 进行文献检索,回顾了与 KA 相关的激光治疗,包括以下特征:流行病学、皮肤癌病史、位置和数量、激光类型以及治疗和结局。

结果

最常见的引发 KA 的激光类型是 Fractional ablative,大多数病例在治疗后第一个月内出现。大多数激光诱导 KA 病例均有恶性或癌前皮肤肿瘤病史。激光诱导 KA 的治疗方法与其他情况下发生的 KA 相似。

结论

尽管罕见,但临床医生需要了解并准备好理解和管理激光治疗后的并发症,包括角化棘皮瘤。

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