COMPLETE CLEARANCE OF RESISTANT GRANULOMA FACIALE WITH PULSED DYE LASER AFTER PRE- TREATMENT WITH MOMETASONE AND TACROLIMUS

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MICALLEF DANIEL; BOFFA MICHAEL J

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Journal Paper

Paper Information

Journal: JOURNAL OF LASERS IN MEDICAL SCIENCES Year:2017 | Volume:8 | Issue:2 Page(s): 95-97

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Title

COMPLETE CLEARANCE OF RESISTANT GRANULOMA FACIALE WITH PULSED DYE LASER AFTER PRE- TREATMENT WITH MOMETASONE AND TACROLIMUS

Author(s)

MICALLEF DANIEL | BOFFA MICHAEL J | Issue Writer Certificate

Keywords

LASERS

DYE PULSED

GRANULOMA

TACROLIMUS

MOMETASONE

Abstract

Introduction: GRANULOMA faciale is an uncommon inflammatory dermatosis which usually affects the face and is often resistant to treatment.Case Report: A 39-year- old English lady with Fitzpatrick skin phototype II presented with typical lesions of GRANULOMA faciale, confirmed on biopsy, on her cheeks and nose. Treatment with ScleroPlus pulsed dye laser (Candela Corporation, Wayland, Mass) produced no visible improvement. The patient re-presented 5 years later with the same lesions, now more prominent. No improvement was noted with topical MOMETASONE, however addition of topical TACROLIMUS caused significant flattening. Since the erythema and telangiectases persisted, treatment with ScleroPlus pulsed dye laser was re-attempted. Treatments were performed with a wavelength of 595 nm, pulse duration of 1.5 ms and 7 mm spot at a fluence of 8.5 J/cm2 in the first session and 9.5 J/cm2 in the subsequent 2 sessions. This resulted in complete resolution without scarring or pigmentary change. There was no recurrence at follow-up one year later.Conclusion: Our observation supports the use of combination therapy in resistant cases of GRANULOMA faciale. One such combination would be the application of a topical corticosteroid and TACROLIMUS followed by pulsed dye laser.

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APA: Copy

MICALLEF, DANIEL, & BOFFA, MICHAEL J. (2017). COMPLETE CLEARANCE OF RESISTANT GRANULOMA FACIALE WITH PULSED DYE LASER AFTER PRE- TREATMENT WITH MOMETASONE AND TACROLIMUS. JOURNAL OF LASERS IN MEDICAL SCIENCES, 8(2), 95-97. SID. https://sid.ir/paper/325969/en

Vancouver: Copy

MICALLEF DANIEL, BOFFA MICHAEL J. COMPLETE CLEARANCE OF RESISTANT GRANULOMA FACIALE WITH PULSED DYE LASER AFTER PRE- TREATMENT WITH MOMETASONE AND TACROLIMUS. JOURNAL OF LASERS IN MEDICAL SCIENCES[Internet]. 2017;8(2):95-97. Available from: https://sid.ir/paper/325969/en

IEEE: Copy

DANIEL MICALLEF, and MICHAEL J BOFFA, “COMPLETE CLEARANCE OF RESISTANT GRANULOMA FACIALE WITH PULSED DYE LASER AFTER PRE- TREATMENT WITH MOMETASONE AND TACROLIMUS,” JOURNAL OF LASERS IN MEDICAL SCIENCES, vol. 8, no. 2, pp. 95–97, 2017, [Online]. Available: https://sid.ir/paper/325969/en

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