Natasa Teovska Mitrovska: Angiokeratoma of Fordyce Treatment with Nd:YAG Laser
Angiokeratomas are vascular malformations that are clinically or histologically verrucous, with superficial vessels just beneath the epidermis. The clinical variants of angiokeratoma can be divided into widespread form and localized forms. The localized form includes solitary angiokeratoma, angiokeratoma circumscriptum neviforme, angiokeratoma of Mibelli and angiokeratoma of Fordyce. Angiokeratoma of Fordyce is the most common type of angiokeratoma seen, frequently found over the scrotum, can also be seen on the vulva and thighs. Angiokeratoma of the vulva (Fordyce) is common in older women and usually asymptomatic. Angiokeratoma of Fordyce can be cured by varied therapeutic methods including surgery, electrocoagulation, cryotherapy, or various laser systems. We present our treatment with the application of Nd:YAG laser in the treatment of angiokeratoma of Fordyce.
A 44-year-old female patient presented for the treatment of multiple vulvar angiokeratomas. We performed 1064 nm Nd:YAG laser therapy (spot size: 5 mm/7 mm, energy: 90-130 J/cm2, and pulse duration: 10-20 ms) to treat the patient’s lesions. The clinical endpoint of the treatment was shrunk lesions and turned pallor immediately after the irradiation. The patient only reported burning as a sensation that lasted for two days. She had no scar formation or any other side effects. In our report angiokeratoma of Fordyce responded well to the Nd:YAG laser treatment.
Keywords: Angiokeratoma, Fordyce, vulva, Nd:Yag laser