Article

Access to the text (HTML) Access to the text (HTML)
PDF Access to the PDF text
Advertising


Access to the full text of this article requires a subscription.
  • If you are a subscriber, please sign in 'My Account' at the top right of the screen.

  • If you want to subscribe to this journal, see our rates



Journal of the American Academy of Dermatology
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le mercredi 29 janvier 2020
Doi : 10.1016/j.jaad.2019.06.013
accepted : 8 June 2019
Laser treatment of epidermal nevi: A multicenter retrospective study with long-term follow-up
 

Azzam Alkhalifah, MD a, b, Frederike Fransen, MD c, Florence Le Duff, MD a, Jean-Philippe Lacour, MD a, Albert Wolkerstorfer, MD, PhD c, Thierry Passeron, MD, PhD a, d,
a Department of Dermatology, CHU Nice, Université Côte d'Azur, Nice 
b Department of Dermatology, Qassim University, CHU Nice, Unaizah College of Medicine, Qassim 
c Department of Dermatology, Academic Medical Centre, University of Amsterdam 
d U1065, C3M, Institut National de la Santé et de la Recherche Médicale, Université Côte d'Azur, Nice 

Correspondence to: Thierry Passeron, MD, PhD, Dermatologie, 151 route St Antoine De Ginestiere, 06200 Nice, France.Dermatologie151 route St Antoine De GinestiereNice06200France
Abstract
Background

Patients with epidermal nevi strongly demand cosmetic improvement. Laser treatment appears appealing and is frequently used in clinical practice. Nevertheless, large series with long-term follow-up are missing, preventing definitive conclusions about its real benefit.

Objective

To evaluate the long-term effectiveness and safety of lasers for epidermal nevi.

Methods

Bicentric, retrospective, cohort study, including all patients treated with a laser for an epidermal nevus with more than a 1-year follow-up.

Results

Seventy patients were treated for different types of epidermal nevi, mostly with ablative lasers: 23 verrucous epidermal nevi, 16 nevi sebaceous, 26 Becker nevi, 2 inflammatory linear verrucous epidermal nevi, 1 smooth-muscle hamartoma, 1 rounded and velvety epidermal nevus, and 1 nevus lipomatosus superficialis. The follow-up period was a median of 37 months (range, 12-127 months). Better results, fewer recurrences, and higher patient satisfaction were noted in treatments for verrucous epidermal nevi than for nevi sebaceous. Q-switched lasers failed to show any degree of improvement in almost all patients with Becker nevus.

Limitations

The retrospective nature of the study.

Conclusions

Ablative lasers can treat verrucous epidermal nevi with good long-term esthetic results but have limited long-term efficacy for nevus sebaceous. Q-switched lasers failed to improve Becker nevi.

The full text of this article is available in PDF format.

Key words : ablative laser, Becker nevus, CO2 laser, epidermal nevus, Er:YAG laser, ILVEN, nevus lipomatosus superficialis, nevus sebaceous, Becker's nevus, smooth-muscle hamartoma, verrucous epidermal nevus

Abbreviations used : BN, EN, Er:YAG, LT-PGA, NS, RAVEN, ST-PGA, VEN



 Funding sources: None.
 Conflicts of interest: None disclosed.
 Supplementary files are available on: 38rfzj4c2m.1.
 Reprints not available from the authors.



© 2019  American Academy of Dermatology, Inc.@@#104156@@
EM-CONSULTE.COM is registrered at the CNIL, déclaration n° 1286925.
As per the Law relating to information storage and personal integrity, you have the right to oppose (art 26 of that law), access (art 34 of that law) and rectify (art 36 of that law) your personal data. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
Personal information regarding our website's visitors, including their identity, is confidential.
The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
Close
Article Outline
You can move this window by clicking on the headline