What is the role of laser therapy in the treatment of porokeratosis?

Updated: Oct 09, 2020
  • Author: Amarateedha Prak LeCourt, MD; Chief Editor: William D James, MD  more...
  • Print
Answer

Various types of laser therapy have been used. A rapid recurrence reportedly followed carbon dioxide laser ablation. The 585 nm flashlamp-pumped pulsed dye laser was shown to help one patient with linear porokeratosis. Another patient with PM with an underlying hemangioma had good improvement of the hemangioma but no change in the porokeratosis after treatment. The frequency-doubled Nd:YAG laser was shown to be helpful for one patient with disseminated superficial porokeratosis (DSP). Two cases of disseminated superficial actinic porokeratosis were successfully treated with the 1927-nm thulium fiber fractional laser. [88] The Q-switched ruby laser has been reported to be effective in the treatment of DSAP and PM. Benefits of laser therapy include convenience and safety, with nearly no downtime or morbidity associated with pigment or textural changes. [88, 89, 90]

Ultrasonic surgical aspiration was shown to be effective in the treatment of vulvar porokeratosis in one patient.

Photodynamic therapy with methyl aminolevulinate has been reported to be successful for DSAP and linear porokeratosis. [91]


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!