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Laser surgery for blue rubber bleb nevus

T G Olsen, S K Milroy, L Goldman

    Archives of Dermatology
    |January 1, 1979
    PubMed
    Summary
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    Blue rubber bleb nevus syndrome (BRBNS) involves extensive skin and internal hemangiomas. Carbon dioxide laser surgery effectively removed 225 hemangiomas in one patient, showing excellent cosmetic and follow-up results.

    Area of Science:

    • Dermatology
    • Vascular Surgery
    • Medical Genetics

    Background:

    • Blue rubber bleb nevus syndrome (BRBNS) is a rare congenital disorder characterized by multiple cutaneous and visceral hemangiomas.
    • Patients often present with significant cosmetic concerns and potential for life-threatening hemorrhage.
    • Current management strategies for BRBNS are limited, with surgical intervention often being the primary approach for symptomatic lesions.

    Observation:

    • A 21-year-old male patient presented with extensive cutaneous and visceral hemangiomas consistent with BRBNS since birth.
    • The patient had numerous skin lesions requiring treatment.
    • No prior effective treatment had been documented for the extensive nature of his condition.

    Findings:

    • Surgical excision using a carbon dioxide laser was performed to remove 225 cutaneous hemangiomas.

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  • The procedure resulted in complete removal of the targeted lesions.
  • There were no reported recurrences or complications, such as infection or hemorrhage, post-operatively.

    • Implications:

    • Carbon dioxide laser therapy offers a safe and effective modality for managing extensive cutaneous hemangiomas in BRBNS.
    • Minimally invasive laser surgery can achieve excellent cosmetic outcomes and prevent complications.
    • Further research into long-term efficacy and potential systemic applications of laser therapy for BRBNS is warranted.