Generalized essential telangiectasia successfully treated with high-energy, long-pulse, frequency-doubled Nd:YAG laser.
BACKGROUND
Generalized essential telangiectasia is a rare cutaneous disorder with limited therapeutic options.


OBJECTIVE
To evaluate the treatment with high-energy, high-frequency, long-pulse Nd:YAG laser in a patient with generalized essential telangiectasia.


METHODS
A 62-year-old woman presented with a 20-year history of generalized essential telangiectasia. She had extensive telangiectasias primarily on the forearms and lower legs. The patient was treated with an Nd:YAG laser using a fluence of 20 J/cm2 and a pulse width of 20 msec. A sapphire water-cooled chill tip was used to cool the skin during laser therapy. The treatment was performed every 4 weeks over a period of 6 months.


RESULTS
After six treatment sessions an almost complete clearance of telangiectatic lesions was observed. Side effects such as purpura, scarring, and pain did not occur. After a follow-up of 6 months, small telangiectatic lesions relapsed.


CONCLUSIONS
Our results suggest that the Nd:YAG laser appears to be an effective and safe treatment option for generalized essential telangiectasia.
Gambichler
T
T
Department of Dermatology, Ruhr-University Bochum, Gudrunstr. 56, D-44791 Bochum, Germany. t.gambichler@derma.de
Avermaete
A
A
Wilmert
M
M
Altmeyer
P
P
Hoffmann
K
K
D005260:Female; D006801:Humans; D053685:Laser Therapy; D008875:Middle Aged; D017445:Skin Diseases, Vascular / Q000473:pathology / Q000532:radiotherapy*; D013684:Telangiectasis / Q000473:pathology / Q000532:radiotherapy*