Nonconventional Use of Flash-Lamp Pulsed-Dye Laser in Dermatology

Flash-lamp pulsed-dye laser (FPDL) is a nonablative technology, typically used in vascular malformation therapy due to its specificity for hemoglobin. FPDL treatments were performed in a large group of patients with persistent and/or recalcitrant different dermatological lesions with cutaneous microvessel involvement. In particular, 149 patients (73 males and 76 females) were treated. They were affected by the following dermatological disorders: angiokeratoma circumscriptum, genital and extragenital viral warts, striae rubrae, basal cell carcinoma, Kaposi’s sarcoma, angiolymphoid hyperplasia, and Jessner-Kanof disease. They all underwent various laser sessions. 89 patients (59.7%) achieved excellent clearance, 32 patients (21.4%) achieved good-moderate clearance, 19 patients (12.7%) obtained slight clearance, and 9 subjects (6.1%) had low or no removal of their lesion. In all cases, FPDL was found to be a safe and effective treatment for the abovementioned dermatological lesions in which skin microvessels play a role in pathogenesis or development. Further and single-indication studies, however, are required to assess a standardized and reproducible method for applying this technology to “off-label” indications

Tattoo-Associated Skin Reaction: The Importance of an Early Diagnosis and Proper Treatment

Tattoo is going to be a very common practice especially among young people and we are witnessing a gradual increase of numerous potential complications to tattoo placement which are often seen by physicians, but generally unknown to the public. The most common skin reactions to tattoo include a transient acute inflammatory reaction due to trauma of the skin with needles and medical complications such as superficial and deep local infections, systemic infections, allergic contact dermatitis, photodermatitis, granulomatous and lichenoid reactions, and skin diseases localized on tattooed area (eczema, psoriasis, lichen, and morphea). Next to these inflammatory skin reactions we have to consider also the possibility of the development of cutaneous conditions such as pseudolymphomatous reactions and pseudoepitheliomatous hyperplasia. The aim of this study is to underline the importance of an early diagnosis by performing a histological examination especially when we are in front of suspected papulonodular lesions arising from a tattoo, followed by a proper treatment, since cutaneous neoplastic evolution is known to be a rare but possible complication

Highlights of Thirty-Year Experience of CO2 Laser Use at the Florence (Italy) Department of Dermatology

The CO2 laser has been used extensively in dermatological surgery over the past 30 years and is now recognised as the gold standard for soft tissue vaporization. Considering that the continuous wave CO2 laser delivery system and the newer “superpulsed” and scanned CO2 systems have progressively changed our practice and patient satisfaction, a long range documentation can be useful. Our experience has demonstrated that the use of CO2 laser involves a reduced healing time, an infrequent need for anaesthesia, reduced thermal damage, less bleeding, less inflammation, the possibility of intra-operative histologic and/or cytologic examination, and easy access to anatomically difficult areas. Immediate side effects have been pain, erythema, edema, typically see with older methods, using higher power. The percentage of after-treatment keloids and hypertrophic scars observed was very low (~1%) especially upon the usage of lower parameters. The recurrence of viral lesions (condylomas and warts) have been not more frequent than those due to other techniques. Tumor recurrence is minor compared with radiotherapy or surgery. This method is a valid alternative to surgery and/or diathermocoagulation for microsurgery of soft tissues. Our results are at times not consistent with those published in the literature, stressing the concept that multicentric studies that harmonization methodology and the patient selection are vital

Fractional Micro-ablative CO2 Laser as Therapy in Penile Lichen Sclerosus: CO2 Laser to Treat Penile Lichen Sclerosus

Introduction: Topical steroids remain the first-line therapy to treat lichen sclerosis (LS), but circumcision may be curative in most cases. Positive results have been obtained by using a fractional micro-ablative CO2 laser to treat genital LS. This study aims to assess the safety and efficacy of the fractional micro-ablative CO2 laser in the treatment of penile LS.Case Presentation: Five treatments with the fractional CO2 laser were performed on one 69-year old man affected by penile LS. A significant improvement in symptomatology was noted after the first treatment session. Complete clinical remission was achieved 14 weeks after the last treatment.Conclusion: The fractional micro-ablative CO2 laser may represent a practical therapeutic approach in penile LS. DOI: 10.34172/jlms.2021.6

Erbium Laser for Skin Surgery: A Single-Center Twenty-Five Years’ Experience

 (1) Introduction: The Erbium laser is a very versatile laser system used in dermatology. Its ability to be almost selectively absorbed by water makes it a perfect device for managing various cutaneous skin conditions. (2) Methods: In this paper, we report our twenty-five years’ experience with the Erbium laser. More than three thousand patients were treated for common skin disorders such as flat warts, seborrheic keratosis, xanthelasmas, and scars. (3) Results: A complete response was observed in 89.6%, without significant side effects. Local anesthesia was used in only a tiny percentage of patients. (4) Conclusions: This study confirms that the Erbium laser is a valuable and flexible procedure for laser surgery with excellent safety and short healing times

Jessner-Kanof disease: Two effective and sure therapeutic options

Jassner-Kanof disease is a benign cutaneous disorder clinically characterized by recurrent asymptomatic erythematous papules and plaques sometimes grouped with an arciformdisposition on the face, neck, and back.We describe a case of Jassner-Kanof disease resistant to conventional therapy, in which the lesions located on the arms were treated with 595 nm pulsed dye laser, and those on the trunk underwent a treatment with tacrolimus 0.03% ointment.We have compared the results and the potential side effects with the two treatments, and after 1 year of follow-up, no recurrence of cutaneous lesions were observed. © 2013 Wiley Periodicals, Inc

Local habitat and seascape structure influence seagrass fish assemblages in the Venice lagoon: the value of conservation at multiple spatial scales.

Seagrass meadows are a critical component of estuarine and coastal seascapes, and their structure influences fish assemblages at multiple spatial scales. The patch mosaic mode l, which defines the seascape as a collection of interacting habitat types, is increasingly dopted to prioritise protected areas and design ecological restoration schemes, hence helping to preserve seagrass meadows and the associated fish assemblages. Despite that, the re are few studies investigating the relative contribution of environmental characteristics measured at different spatial scales in determining the distribution of seagrass fish. This study collects fish and environmental observations taken at both site and seascape scales in seagrass meadows in the Venice lagoon (Adriatic Sea, Italy). By means of generalised linear models, it aims to disentangle the relative influence of local water qua lity and habitat characteristics from that of habitat mosaic properties, investigating the response of whole fish assemblage descriptors, feeding guilds and dominant species. While confirming the primary importance of local habitat quality , the study highlights that also seagrass habitat structure at the seascape scale is relevant for seagrass fish assemblages, influencing total biomass, biomass of macrobenthivorous and hyperbenthivorous/piscivorous species and seagrass specialists such as syngnathids. Conservation of seagrass fish assemblages can therefore be promoted in Mediterranean coastal lagoons by preserving or restoring some features of the habitat mosaic, namely the extension of seagrass patches and their shape complexity, in addition to local water quality and seagrass cover