Pseudoxanthoma Elasticum Treatment with Fractional CO2 Laser

• Published in: Plastic and reconstructive surgery. Global open Vol. 2; no. 9; p. e219
• Main Authors: Salles, Alessandra Grassi, Remigio, Adelina Fátima do Nascimento, Moraes, Luciana Borsoi, Varoni, Andreza Cristina Camacho, Gemperli, Rolf, Ferreira, Marcus Castro
• Format: Report
• Language: English
• Published: 01-09-2014
• ISSN: 2169-7574; 2169-7574
• DOI: 10.1097/GOX.0000000000000173

SUMMARYPseudoxanthoma elasticum (PE) is a rare genetic disease characterized by calcification and fragmentation of elastic fibers of the skin, retina, and cardiovascular system. We report a case of PE in which fractional carbon dioxide laser treatment was successfully used to achieve improvement of the cervical skin with 2-year follow-up, in a patient with Fitzpatrick skin type IV. After the fifth session, the patient presented with a local herpes infection. The postlaser reaction of the PE skin was similar to that of the normal skin, in terms of the duration of redness, pain, swelling, and duration of crusting. The overall cosmetic result was satisfactory, with improvement in skin texture, irregularity, volume, and distensibility. The herpetic infection reinforces the value of antiviral prophylaxis during laser treatment of extrafacial areas.