Treatment of multiple vulvar angiokeratomas using long-pulsed 1064-nm Nd:Yag laser: a case report

The purpose of this clinical case was to test the efficacy and safety of the long-pulsed 1064-nm neodymium-YAG laser in the treatment of multiple angiokeratomas on the labia majora of the vulva. Benign vascular neoplasms known as angiokeratomas are characterized by well-defined, hyperkeratotic, reddish-black papules, or plaques. The patient underwent one treatment session with a long-pulsed 1064-nm neodymium-YAG laser. A clinical photographic assessment was performed immediately after the laser session and at 14 days follow-up. At the follow-up appointment, the patient reported no significant discomfort and physical examination revealed complete resolution of all angiokeratomas. The skin of the labia majora appeared healthy, with no visible scarring or pigmentation changes. The patient expressed high satisfaction with the cosmetic outcome. This case supports the use of laser systems for managing angiokeratomas in delicate areas like the genital region, providing significant aesthetic improvement and patient satisfaction.