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Case Reports
. 2024 Oct 7:23:e20230121.
doi: 10.1590/1677-5449.202301212. eCollection 2024.

Response to 1064 nm Nd:YAG LASER in treatment of vulvar Fordyce's Angiokeratoma: case report

Cláudia Carvalho Sathler-Melo  1 , Daniel Mendes-Pinto  2 , Guilherme de Castro-Santos  3
Affiliations
Case Reports

Response to 1064 nm Nd:YAG LASER in treatment of vulvar Fordyce's Angiokeratoma: case report

Cláudia Carvalho Sathler-Melo et al. J Vasc Bras. .

Abstract
in English, Portuguese

Fordyce's Angiokeratoma (AKF) is a benign type of vascular lesion that affects the male and female external genitalia. Prevalence is unknown and there is no apparent hereditary component. Diagnosis can be suggested by ectoscopy, by the presence of purple, bluish, black or red papules on the vulva, clitoris, scrotum, or penis body or glans. Most patients are asymptomatic. Various methods have been used for treatment, including surgery, electrocoagulation, chemical cauterization, sclerotherapy, and LASER. The effectiveness and complications of these therapies are varied. The purpose of this article is to report the case of a 56-year-old woman with abundant and painful vulvar lesions treated with a 1064 nm Nd:YAG LASER. The 1064 nm Nd:YAG LASER proved to be a viable therapeutic option, with satisfactory results and a low rate of complications.

O angioceratoma de Fordyce é um tipo de lesão vascular de caráter benigno, que compromete as genitálias externas masculina e feminina, cuja prevalência é desconhecida e sem componente hereditário aparente. O diagnóstico pode ser sugerido à ectoscopia pela presença de pápulas púrpuras, azuladas, negras ou vermelhas na vulva, clitóris, escroto, corpo ou glande do pênis. A maioria dos pacientes é assintomática. Vários métodos têm sido utilizados para o tratamento, incluindo cirurgia, eletrocoagulação, cauterização química, escleroterapia e laser. A eficácia e as complicações dessas terapias são variadas. O propósito deste artigo é relatar o caso de uma mulher de 56 anos de idade apresentando lesões vulvares abundantes e dolorosas, tratadas com o laser de pulso longo Nd: YAG de 1.064 nm. O laser Nd: YAG de 1.064 nm apresentou-se como uma opção terapêutica viável, com resultados satisfatórios e baixo índice de complicações.

Keywords: Fordyce; Nd-yag 1064 laser; angiokeratoma.

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Conflict of interest statement

Conflicts of interest: No conflicts of interest declared concerning the publication of this article.

Figures

Figure 1
Figure 1. Vascular abnormalities in the papillary derma, ectasia of vessels and hyperkeratosis in the epidermis. Hematoxylin eosin stain (30x).
Figure 2
Figure 2. Pretreatment: painful red-purple papules on the vulva.
Figure 3
Figure 3. Posttreatment: full remission of lesions and full relief from pain.
See this image and copyright information in PMC

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