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The Successful Treatment of Elephantiasis Nostras Verrucosa With Ablative Carbon Dioxide Laser
Caitlin G Robinson1, Kory R Lee2, Valencia D Thomas3
11 Department of Dermatology, UT Houston, Houston, TX, USA.
Background And Objective:
Elephantiasis nostras verrucosa (ENV) is a disfiguring skin condition that is difficult to treat. Existing treatment modalities serve to improve cosmesis or treat symptoms. Herein, we report a case of ENV with lymphocutaneous fistula successfully treated with ablative carbon dioxide laser.
Study Design/Patients And Methods:
A 57-year-old woman with biopsy-proven ENV with lymphocutaneous fistula was treated with ablative carbon dioxide laser to the symptomatic area of her right thigh in 3 treatment sessions over 6 months.
Results:
The patient had resolution of lymphocutaneous drainage as well as 90% improvement in the appearance of ENV lesions at the 1-month follow-up visit.
Conclusion:
Ablative carbon dioxide laser may provide cosmetic, symptomatic, and medical benefit for patients with localized ENV.
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