Successful laser therapy of a papular acantholytic dyskeratosis of the vulva: case report and review of literature

Background The papular acantholytic dyskeratosis summarizes a collection of papular skin lesions which occur in intertriginous areas and in the genital area. They show a very characteristic histology without the connection to a syndrome such as the Hailey–Hailey disease or the Darier disease. Method...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2010-04, Vol.281 (4), p.723-725
Main Authors: Dittmer, C. J., Hornemann, A., Rose, C., Diedrich, K., Thill, M.
Format: Article
Language:English
Subjects:
Biopsy
Case reports
Endocrinology
Female
Gynecologic Oncology
Gynecology
Human Genetics
Humans
Laser Therapy
Lasers
Medicine
Medicine & Public Health
Middle Aged
Obstetrics/Perinatology/Midwifery
Skin Diseases - therapy
Vulvar Diseases - therapy
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Summary:Background The papular acantholytic dyskeratosis summarizes a collection of papular skin lesions which occur in intertriginous areas and in the genital area. They show a very characteristic histology without the connection to a syndrome such as the Hailey–Hailey disease or the Darier disease. Methods We present the case of an affected 45-year-old woman and evaluate the laser therapy as therapeutic option. Results A long lasting reduction of the symptoms was achieved by paying special attention to involving the deep tissue layers while performing the laser therapy. Despite causing a long and painful healing process, this was the only way to achieve a lasting reduction of the symptoms. Conclusions Laser therapy in afflicted areas can improve the symptoms of the papular acantholytic dyskeratosis. The deep tissue laser therapy showed more success than the superficial laser therapy.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-009-1313-8