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Successful carbon dioxide laser therapy for refractory anogenital lichen sclerosus
Christopher M Peterson1, Joshua E Lane, John L Ratz
1Section of Dermatology, Department of Medicine, The Medical College of Georgia, Augusta, Georgia 30912, USA.
Background:
Lichen sclerosus is a chronic inflammatory dermatitis that often occurs in the anogenital area and presents a therapeutic challenge. Traditional medical management includes potent topical corticosteroids and is marked by variable results.
Objective:
The objective was to describe the successful use of carbon dioxide laser ablation therapy in two women with refractory anogenital lichen sclerosus.
Methods:
A case is reported and the literature is reviewed.
Results:
Two women with medically recalcitrant anogenital lichen sclerosus were successfully treated with the carbon dioxide laser. Both patients tolerated the procedure well and had excellent surgical outcomes.
Conclusion:
Lichen sclerosus recalcitrant to medical therapy presents a therapeutic challenge This may be successfully treated with the carbon dioxide laser with excellent surgical results and minimal risk.