Necrobiosis lipoidica treated with intense pulsed light

  • Marisa Gonzaga da Cunha Faculdade de Medicina do ABC, Santo André, SP, Brazil
  • Flavia Cury Rezende Faculdade de Medicina do ABC, Santo André, SP, Brazil
  • Ana Lúcia Gonzaga da Cunha Universidade Federal de São Paulo, São Paulo, SP, Brasil,
  • Carlos D'Apparecida Machado Filho Faculdade de Medicina do ABC, Santo André, SP, Brazil
Article ID: 65
2491 Views
DOI: https://doi.org/10.18282/jsd.v6.i2.65
Keywords: necrobiosis lipoidica, treatment, intense pulsed light

Abstract

Necrobiosis Lipoidica (NL) is a chronic degenerative disease of the collagen with higher incidence on the anterior part of lower extremities, especially the tibial area. There were a number of proposed treatments, but none is 100% effective. We present a case of a fifty-year-old female patient with a suspected diagnosis of necrobiosis    lipoidica, confirmed by histopathological examination. After two years of treatment with topical corticosteroids and weekly applications of Psoralen and ultraviolet A radiation (PUVA), there were no signs of improvement and we  decided to perform a treatment with intense pulsed light therapy. Over a period of 14 months, a total of 13 sessions were carried out and a satisfactory treatment result was obtained.

Author Biographies

Marisa Gonzaga da Cunha, Faculdade de Medicina do ABC, Santo André, SP, Brazil
Chief of department of Cosmiatric Dermatology in Faculdade de Medicina do ABC
Flavia Cury Rezende, Faculdade de Medicina do ABC, Santo André, SP, Brazil
Senior resident of Dermatology in Faculdade de Medicina do ABC
Ana Lúcia Gonzaga da Cunha, Universidade Federal de São Paulo, São Paulo, SP, Brasil,
Former resident in plastic surgery in Universidade Federal de São Paulo
Carlos D'Apparecida Machado Filho, Faculdade de Medicina do ABC, Santo André, SP, Brazil
Chief of Department of Dermatology in Faculdade de Medicina do ABC
Published
2021-04-21
How to Cite
da Cunha, M. G., Rezende, F. C., da Cunha, A. L. G., & Machado Filho, C. D. (2021). Necrobiosis lipoidica treated with intense pulsed light. Journal of Surgical Dermatology, 6(2), 31-34. https://doi.org/10.18282/jsd.v6.i2.65
Issue
Vol. 6 No. 2 (2021)
Section
Case Reports

Copyright (c) 2021 da Cunha MG, et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

References

Rupley KA, Riahi RR, Hooper DO. Granuloma annulare and necrobiosis lipoidica with sequential occurrence in a

patient: Report and review of literature. Dermatol Pract Concept 2015; 5(1): 29–34. doi: 10.5826/dpc.0501a03.

Ianoşi SL, Tutunaru C, Georgescu CV, Ianoşi NG, Geo-rgescu DM, et al. Specific features of a rare form of disseminated necrobiosis lipoidica granuloma annulare type: A case report. Rom J Morphol Embryol 2014; 51(4): 1455–1461.

Sarkar A, Dewangan YK, Bain J, Rakshit P, Dhruw K, et al. Effect of intense pulsed light on immature burn scars: A clinical study. Indian J Plast Surg 2014; 47(3): 381– 385.

Piccolo D, Marcantonio DD, Crisman G, Cannarozzo G, Sannino M, et al. Unconventional Use of Intense Pulsed Light. Biomed Res Int 2014; 2014: 618206. doi: 10.1155/2014/618206.

Wu D, Zhou B, Xu Y, Yin Z, Luo D. Impact of intense pulsed light irradiation on cultured primary fibroblasts and a vascular endothelial cell line. Exp Ther Med 2012; 4(4): 669–67. doi: 10.3892/etm.2012.664.