Conflicts of interests: None.
Pulsed dye laser treatment for facial flat warts
Article first published online: 10 APR 2013
© 2013 Wiley Periodicals, Inc.
Volume 27, Issue 1, pages 31–35, January/February 2014
How to Cite
Grillo, E., Boixeda, P., Ballester, A., Miguel-Morrondo, A., Truchuelo, T. and Jaén, P. (2014), Pulsed dye laser treatment for facial flat warts. Dermatologic Therapy, 27: 31–35. doi: 10.1111/dth.12038
Funding sources: None.
- Issue published online: 6 FEB 2014
- Article first published online: 10 APR 2013
- flat warts;
- pulsed dye laser;
The facial flat wart is not only a contagious viral disease, but also a cause of a distressing cosmetic problem. Although there are many therapeutic options, including salicylic acid, imiquimod, cryotherapy, retinoids, intralesional immunotherapy, and topical 5-aminolevulinic acid photodynamic therapy among others, no monotherapy has been proved to achieve complete remission in every case. Treatment with pulsed dye laser (PDL) seems to be a promising therapeutic option. To assess the efficacy and safety of PDL in a series of patients with viral flat warts on the face, in this prospective study, 32 patients were treated with PDL at 595-nm wavelength, a laser energy density of 9 or 14 J/cm2 with a spot size of 7 or 5 mm, respectively, with air cooling and a pulse duration of 0.5 millisecond. A complete response was noted in 14 patients (44%), and an excellent response was observed in 18 patients (56%) with 1-year follow-up, with only four recurrences. No significant side effects were reported except intense transitory purpuric response. We consider that PDL is a good option of treatment for flat warts on the face due to its good clinical results, fast response, and low incidence of side effects.