Treatment of a symptomatic dermatofibroma with fractionated carbon dioxide laser and topical corticosteroids

Audrey S. Wang, Larissa N Larsen, Shurong Chang, Tiffany Phan, Jared Jagdeo

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Dermatofibromas are benign skin lesions that may be treated if symptomatic or for cosmetic concerns. We present a case of an African American woman with an enlarging, pruritic dermatofibroma on the thigh that was treated with fractionated carbon dioxide (CO2) laser three times approximately 5 weeks apart. Between laser treatments, topical corticosteroids were applied to the lesion for a total of 13 weeks. The dermatofibroma completely flattened and became asymptomatic within 1 month after the final laser treatment. We hypothesize that the fractionated CO2 laser ablated a portion of the stromal component of the lesion and introduced microscopic channels that facilitated deeper penetration of the topical corticosteroids into the lesion. This is the first reported case demonstrating the successful treatment of a symptomatic dermatofibroma using combination therapy with fractionated CO2 laser and topical corticosteroids.

Original languageEnglish (US)
Pages (from-to)1483-1484
Number of pages2
JournalJournal of Drugs in Dermatology
Volume12
Issue number12
StatePublished - Dec 2013

ASJC Scopus subject areas

  • Dermatology

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    Wang, A. S., Larsen, L. N., Chang, S., Phan, T., & Jagdeo, J. (2013). Treatment of a symptomatic dermatofibroma with fractionated carbon dioxide laser and topical corticosteroids. Journal of Drugs in Dermatology, 12(12), 1483-1484.