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Spontaneous Resolution Of Eruptive Papules Following Ablative Laser Resurfacing-case Report And Review Of Laser-associated Eruptive Keratoacanthomas

Nanda, R., & Cohen, J. L. (2024). Spontaneous resolution of eruptive papules following ablative laser resurfacing-Case report and review of laser-associated eruptive keratoacanthomas. Journal of cosmetic dermatology, 23(6), 1936–1939. https://doi.org/10.1111/jocd.16182

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Abstract

BACKGROUND: Keratoacanthomas (KAs) following laser treatment are a rare, but well-described entity. AIM: Herein, we describe a case of eruptive keratoacanthoma (KA) following laser resurfacing treatment and aim to better characterize laser-associated KAs. METHODS: A literature search was performed on PubMed reviewing laser-associated KAs including various characteristics: epidemiology, history of skin cancer, location, and number, type of laser, as well as the management and outcome. RESULTS: Fractional ablative was the most common type of laser triggering KAs, and most cases presented within the first month following treatment. The majority of cases of laser-induced KA had a prior history of a malignant or premalignant skin neoplasm. Laser-induced KAs were treated using modalities similar to KAs arising in other contexts. CONCLUSION: Clinicians need to be knowledgeable and prepared to understand, and manage complications following laser treatments, as rare as they may be, including KAs.

Case Details

Disease Location

Skin

Personal Characteristics

58-year-old woman. History of allergic rhinitis and zoster

Clinical Characteristics

Consulted for facial rejuvenation. Ten days following combination full face fractional co2 along with full-field ablative perioral and periocular erbium laser resurfacing, the patient noted a bump on her cutaneous lips. On examination, three 4- to 6-mm papules with keratotic core were noted in her perioral area at the site of laser resurfacing; a presumptive clinical diagnosis of keratoacanthomas (kas) was made

Remission Characteristics

The lesions shrank in size over the subsequent weeks. At the 6-week post-laser visit, the eruptive papules had spontaneously completely resolved, with excellent cosmetic results

Treatment & Mechanisms

Clinical Treatment

Laser