Cutaneous warts removal in a male teenager with combination therapy of Er:YAG and Nd:YAG Laser
Keywords:
Ablative laser, Common warts, Non-ablative laser, verruca vulgarisAbstract
Cutaneous warts also known as verruca vulgaris are common benign epithelial proliferation caused by human papilloma virus (HPV). For the eradication of warts, several therapeutic techniques have been suggested. However, complete eradication of cutaneous wart is not always achieved with standard therapy. Although there is still a scarcity of data, the use of Light Amplification by Stimulated Emission of Radiation (LASER) may be a useful treatment option to manage cutaneous warts. We present a case of a 19-year-old male teenager with asymptomatic brownish to greyish verrucous papules and plaques over the upper and lower extremities for almost 2 years. Diagnosis of cutaneous warts was established with clinical findings and dermoscopy of the lesions which revealed pinpoint dots of papillary capillaries. The patient was treated with combination of Er:YAG (erbium-doped yttrium aluminium garnet) and Nd:YAG (neodymium-doped yttrium aluminium garnet) LASER under local anesthesia. All cutaneous warts were completely removed with no noted serious adverse events. The Er:YAG laser is perfectly suited for rapid and precise warts removal without thermal harm to surrounding tissue. Combining with the Nd:YAG laser, which affects the nearby blood vessels and removes the remaining wart tissue, has produced favorable outcome. Combining Er:YAG with Nd:YAG in a LASER is a promising and effective way to eliminate cutaneous warts.References
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