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Published on: October 7, 2014
A pathergic response to fractional CO2
Jerome Obed1, Michael Land, Shino Bay Aguilera
1Broward Health Medical Center/NSU-COM, Fort Lauderdale, FL 33316, USA. drjobed@hotmail.com
Pathergy, a nonspecific skin response, can manifest as multiple keratoacanthomas after Fractional CO2 laser treatment. This phenomenon highlights the importance of considering pathergy in patients with predisposing conditions and a history of trauma.
Area of Science:
- Dermatology
- Immunology
Background:
- Pathergy is a nonspecific inflammatory response to minor trauma observed in various conditions.
- Fractional CO2 laser treatment involves controlled thermal injury to the skin.
Observation:
- A unique case of multiple keratoacanthomas emerged following Fractional CO2 laser treatment.
- This acute tumor development resembles an isomorphic response.
Findings:
- The phenomenon is hypothesized to involve alterations in the inflammatory and immune response.
- Pathergy can be triggered by iatrogenic stimuli like laser therapy.
Implications:
- Clinicians should consider pathergy in the differential diagnosis for patients presenting with eruptive lesions after procedures.
- Recognizing this response is crucial for patients with underlying conditions and a history of trauma or skin manipulation.
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