Adult-onset facial colloid milium successfully treated with the long-pulsed Er:YAG laser.
BACKGROUND
Adult colloid milium is a rare cutaneous deposition disorder that frequently involves areas of chronic sun exposure, especially the face and dorsal hands. Attempts to remove these lesions are generally unsuccessful, but dermabrasion has been reported to be effective.


OBJECTIVE
To present an effective therapeutic alternative to dermabrasion for facial colloid milium.


METHODS
A 41-year-old man with extensive facial colloid milium underwent full-face resurfacing with a long-pulsed Er:YAG laser (9.8 J/cm2, 5 mm spot, 10-msec pulse duration). Additional passes were performed over the areas of dense colloid milium to achieve approximately 80% ablation of lesions.results. At the 7-month follow-up there was no scarring, textural changes, dyspigmentation, or clinical evidence of recurrence.


CONCLUSIONS
Long-pulsed Er:YAG laser should be considered an effective alternative to dermabrasion for facial colloid milium.
Ammirati
Christie T
CT
Division of Dermatology, Penn State College of Medicine, Milton Hershey Medical Center, Hershey, Pennsylvania 17033, USA. cammirati@psu.edu
Giancola
Joseph M
JM
Hruza
George J
GJ
D000328:Adult; D006801:Humans; D053685:Laser Therapy; D008297:Male; D012074:Remission Induction; D017444:Skin Diseases, Papulosquamous / Q000532:radiotherapy*