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Carbon dioxide ablative laser treatment of acquired junctional melanocytic nevi.
J Cosmet Dermatol. 2020 Jun 27 [Online ahead of print]JC

Abstract

BACKGROUND

Junctional melanocytic nevi are common. Furthermore, surgical treatment of these nevi can be challenging due to scar formation.

AIMS

The study aims to detect the efficacy and safety of the CO2 fractional laser for treating acquired junctional melanocytic nevi and usefulness of dermatoscopy for the monitoring of the nevus.

METHODS

We conducted a retrospective review of 618 patients with 1545 facial junctional melanocytic nevi. CO2 fractional laser was applied to 2-month intervals until complete clearance was reached. The effect of the therapy was monitored by clinical and dermatoscopy. The Global Assessment Scale (GAS) scores were used to assess the results.

RESULTS

1320 nevi (85%) were treated in just one session. In addition, 120 (8%) and 75 (5%) required second and third sessions, respectively. Only thirty nevi (2%) need more than three sessions. Consequently, at the end of one-year follow-up, patients' (97%) and physicians' (95%) GAS scores were rated as excellent and good, respectively. Moreover, hyper/hypopigmentation, fibrosis, dimples, erythema, and scars were observed as side effects at the 1-year follow-up.

CONCLUSIONS

CO2 laser is effective in completely removing small acquired junctional melanocytic nevus. Furthermore, dermatoscopy appears to be helpful for monitorization of the nevi in the follow-up period.

Authors+Show Affiliations

Private Office, Ankara, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32593221

Citation

Köse, Osman. "Carbon Dioxide Ablative Laser Treatment of Acquired Junctional Melanocytic Nevi." Journal of Cosmetic Dermatology, 2020.
Köse O. Carbon dioxide ablative laser treatment of acquired junctional melanocytic nevi. J Cosmet Dermatol. 2020.
Köse, O. (2020). Carbon dioxide ablative laser treatment of acquired junctional melanocytic nevi. Journal of Cosmetic Dermatology. https://doi.org/10.1111/jocd.13579
Köse O. Carbon Dioxide Ablative Laser Treatment of Acquired Junctional Melanocytic Nevi. J Cosmet Dermatol. 2020 Jun 27; PubMed PMID: 32593221.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Carbon dioxide ablative laser treatment of acquired junctional melanocytic nevi. A1 - Köse,Osman, Y1 - 2020/06/27/ PY - 2020/03/09/received PY - 2020/06/12/revised PY - 2020/06/22/accepted PY - 2020/6/28/pubmed PY - 2020/6/28/medline PY - 2020/6/28/entrez KW - ablative fractionale laser KW - dermatoscopy KW - melanocytic nevus JF - Journal of cosmetic dermatology JO - J Cosmet Dermatol N2 - BACKGROUND: Junctional melanocytic nevi are common. Furthermore, surgical treatment of these nevi can be challenging due to scar formation. AIMS: The study aims to detect the efficacy and safety of the CO2 fractional laser for treating acquired junctional melanocytic nevi and usefulness of dermatoscopy for the monitoring of the nevus. METHODS: We conducted a retrospective review of 618 patients with 1545 facial junctional melanocytic nevi. CO2 fractional laser was applied to 2-month intervals until complete clearance was reached. The effect of the therapy was monitored by clinical and dermatoscopy. The Global Assessment Scale (GAS) scores were used to assess the results. RESULTS: 1320 nevi (85%) were treated in just one session. In addition, 120 (8%) and 75 (5%) required second and third sessions, respectively. Only thirty nevi (2%) need more than three sessions. Consequently, at the end of one-year follow-up, patients' (97%) and physicians' (95%) GAS scores were rated as excellent and good, respectively. Moreover, hyper/hypopigmentation, fibrosis, dimples, erythema, and scars were observed as side effects at the 1-year follow-up. CONCLUSIONS: CO2 laser is effective in completely removing small acquired junctional melanocytic nevus. Furthermore, dermatoscopy appears to be helpful for monitorization of the nevi in the follow-up period. SN - 1473-2165 UR - https://www.unboundmedicine.com/medline/citation/32593221/Carbon_Dıoxıde_ablatıve_laser_treatment_of_acquıred_junctıonal_melanocytıc_nevı L2 - https://doi.org/10.1111/jocd.13579 DB - PRIME DP - Unbound Medicine ER -
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