Extensive Primary Anetoderma Refractory to Erbium YAG Fractionally Ablative Laser

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James C Prezzano
Christopher T Richardson
Glynis A Scott
Sherrif F Ibrahim

Keywords

Anetoderma, laser, dermatology

Abstract

Primary anetoderma is a rare elastolytic disorder characterized by well-circumscribed flaccid, atrophic macules and patches caused by focal loss of elastic fibers. Anetoderma is divided into two forms: primary, which is idiopathic and occurs on clinically normal skin, and secondary, which follows a prior dermatosis. Although it is indolent, the lesions of anetoderma persist and may be associated with significant aesthetic changes causing potential psychosocial difficulties. Anetoderma has been successfully treated with ablative, pulsed dye and non-ablative fractionated lasers. Patients with secondary anetoderma and anetoderma limited to a relatively small body surface area may be more amenable to laser treatment than patients with extensive involvement.

References

1. Emer J, Roberts D, Sidhu H, et al. Generalized anetoderma after intravenous penicillin therapy for secondary syphillus in a HIV patient. J Clin Aesthet Dermatol. 2003;6:23-28.

2. Göebel-Pinto JB, de Almeida HL Jr, de Castro LAS, Rocha NM. Ultrastructural aspects of primary anetoderma. J Cutan Pathol. 2017;44:786-789.

3. Tong LX, Beasley J, Meehan S, et al. Primary anetoderma with undifferentiated connective tissue disease. Dermatol Online J. 2017;23.

4. Kineston DP, Xia Y, Turiansky GW. Anetoderma: a case report and review of the literature. Cutis. 2008;81:501-6.

5. Lee SM, Kim YJ, Chang SE. Pinhole carbon dioxide laser treatment of secondary anetoderma associated with juvenile xanthogranuloma. Dermatol Surg. 2012 Oct;38:1741-3.

6. Wang K, Ross NA, Saedi N. Anetoderma treated with combined 595-nm pulsed-dye laser and 1550-nm non-ablative fractionated laser. J Cosmet Laser Ther. 2016;18:38-40.

7. Cho S, Jung JY, Lee JH. Treatment of anetoderma occurring after resolution of Stevens-Johnson syndrome using an ablative 10,600-nm carbon dioxide fractional laser. Dermatol Surg. 2012;38:677-9.