Cutaneous warts removal in a male teenager with combination therapy of Er:YAG and Nd:YAG Laser

Authors

  • Satya Wydya Yenny Department of Dermatology and Venereology, Faculty of Medicine, Andalas UniversityPadang, West Sumatra, Indonesia
  • Audi Sugiharto Dermatology and Venereology Department, Faculty of Medicine, Andalas University
  • Redha Cipta Utama Dermatology and Venereology Department, Faculty of Medicine, Andalas University

Keywords:

Ablative laser, Common warts, Non-ablative laser, verruca vulgaris

Abstract

Cutaneous warts also known as verruca vulgaris are common benign epithelial proliferation caused by human papilloma virus (HPV). For the eradication of warts, several therapeutic techniques have been suggested. However, complete eradication of cutaneous wart is not always achieved with standard therapy. Although there is still a scarcity of data, the use of Light Amplification by Stimulated Emission of Radiation (LASER) may be a useful treatment option to manage cutaneous warts.  We present a case of a 19-year-old male teenager with asymptomatic brownish to greyish verrucous papules and plaques over the upper and lower extremities for almost 2 years. Diagnosis of cutaneous warts was established with clinical findings and dermoscopy of the lesions which revealed pinpoint dots of papillary capillaries. The patient was treated with combination of Er:YAG (erbium-doped yttrium aluminium garnet) and Nd:YAG (neodymium-doped yttrium aluminium garnet) LASER under local anesthesia. All cutaneous warts were completely removed with no noted serious adverse events. The Er:YAG laser is perfectly suited for rapid and precise warts removal without thermal harm to surrounding tissue. Combining with the Nd:YAG laser, which affects the nearby blood vessels and removes the remaining wart tissue, has produced favorable outcome. Combining Er:YAG with Nd:YAG in a LASER is a promising and effective way to eliminate cutaneous warts.

Author Biography

Satya Wydya Yenny, Department of Dermatology and Venereology, Faculty of Medicine, Andalas UniversityPadang, West Sumatra, Indonesia

dermatologist in Medical Faculty of Andalas University Padang, West Sumatra, Indonesua

References

Luria L, Cardoza-Favarato G. Human Papillomavirus. In: StatPearls (Internet). StatPearls [Internet]. Treasure Island; 2023:Jan 16.

Al Rudaisat M, Cheng H. Dermoscopy Features of Cutaneous Warts. Int J Gen Med. 2021;9903–12.

Maletic A, Maletic I, Maletic D. Case report: Combination of Er:YAG and Nd:YAG Laser for Treatment of Warts. J Laser Heal Acad. 2015;2015(1):1–4.

Sterling JC, Gibbs S, Haque Hussain SS, Mohd Mustapa MF, Handfield-Jones SE. British Association of Dermatologists’ guidelines for the management of cutaneous warts 2014. Br J Dermatol. 2014; 171(4):696–712.

Goldberg DJ, Beckford AN, Mourin A. Verruca vulgaris: Novel treatment with a 1064 nm Nd:YAG laser. J Cosmet Laser Ther. 2015;17(2):116–9.

Nguyen J, Korta DZ, Chapman LW, Kelly KM. Laser treatment of nongenital verrucae a systematic review. JAMA Dermatology. 2016;152(9):1025–33.

Hsu VM, Aldahan AS, Tsatalis JP, Perper M, Nouri K. Efficacy of Nd:YAG laser therapy for the treatment of verrucae: a literature review. Lasers Med Sci. 2017; 32(5):1207–11.

Trelles MA, Allones I, Mayo E. Er:YAG laser ablation of plantar verrucae with red LED therapy-assisted healing. Photomed Laser Surg. 2006;24(4):494–8.

Osman MA. 2940-nm Erbium:YAG laser versus 980-nm diode laser in the treatment of multiple seborrheic keratoses: A prospective comparative randomized study. J Cosmet Dermatol. 2022;21(11):5628–35.

Bennardo L, Fasano G, Tamburi F, Zappia E, Rizzuto F, Nisticò SP, et al. Sequential Use of CO2 Laser Prior to Nd:YAG and Dye laser in the management of non-facial warts: A retrospective study. Medicina (Kaunas). 2022;58(1):115.

Piccolo V. Dermatology Practical and Conceptual update on dermoscopy and infectious skin diseases. Dermatol Pr Concept. 2020;10(1):e2020003.

Agarwal M, Khunger N, Sharma S. A dermoscopic study of cutaneous warts and its utility in monitoring real-time wart destruction by radiofrequency ablation. J Cutan Aesthet Surg. 2021;14(2):155–71.

Alshami MA, Mohana MJ. Novel treatment approach for deep palmoplantar warts using Long-Pulsed 1064-nm Nd:YAG laser and a moisturizing cream without prior paring of the wart surface. Photomed Laser Surg. 2016;34(10):448–55.

Nisticò SP, Cannarozzo G, Campolmi P, Dragoni F, Moretti S, Patruno C, et al. Erbium Laser for skin surgery: A single-center twenty-five years’ experience. Medicines. 2021;8(12):74.

Prohaska J, Hohman M. Laser Complications. In: StatPearls. StatPearls [Internet]. Treasure Island; 2022.

Downloads

Published

2024-07-02

How to Cite

1.
Yenny SW, Sugiharto A, Utama RC. Cutaneous warts removal in a male teenager with combination therapy of Er:YAG and Nd:YAG Laser. J Pak Assoc Dermatol [Internet]. 2024Jul.2 [cited 2024Dec.6];34(3):765-70. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/2570

Issue

Section

Case Reports