The first experience of treating linear types of capillary angiodysplasia of the skin in children with green laser light λ 520 ± 10.0 nm

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Abstract

Introduction. The linear type of capillary angiodysplasia (LCA) is represented by pathologically dilated vessels of the capillary flow located between the epidermis and hypodermis. LCA may be both congenital and acquired. By the type of blood supply, LCA are arterial, venous and mixed. Local infections and injuries, excessive solar insolation and hormonal imbalance are noted among LCA causes. LCAs are benign lesions, but they may have complications which may be triggered, for example, by traumatic damage to a pathologically enlarged vessel. There is a large number of non-invasive and invasive curative methods of LCA removal: cryotherapy, electrocoagulation, sclerotherapy, laser photodestruction and others. Among disadvantages, various authors mark: high risk of scarring, hyperpigmentation and high rate of disease relapse.
Purpose. To improve results of treatment of children with LCA by using laser light.
Material and methods. 32 children having LCA were treated with transcutaneous selective photodestruction ( green laser light, wavelength of 520 ± 10.0 nm generated by Russian-made laser device "Malachit") in Clinical and Research Institute of Emergency Pediatric Surgery and Trauma in 2021–2022.
Results. After treatment, 31 child had good results without residual vascular elements and scar deformation in the photodestruction zone. One patient required a repeated laser session because of remained residual elements after which she also had good results.
Conclusion. The presented clinical trial has demonstrated that transcutaneous selective laser photodestruction with consideration of spatial localization of LCA structural elements in the skin, provides a precise treatment of pathological dilated vascular structures, practically without skin damage, and allows to achieve radical good clinical and aesthetic outcomes.

About the authors

D. A. Safin

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Author for correspondence.
Email: safindinar@ya.ru
ORCID iD: 0000-0001-9436-3352

 Dinar А. Safin, post-graduate student 

 119180, Moscow 

Россия

N. E. Gorbatova

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: fake@neicon.ru
ORCID iD: 0000-0003-4949-7655

 119180, Moscow 

Россия

S. A. Zolotov

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: fake@neicon.ru
ORCID iD: 0000-0002-9964-7810

 119180, Moscow 

Россия

I. V. Batunina

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: fake@neicon.ru

 119180, Moscow 

Россия

A. A. Sirotkin

Prokhorov Institute of General Physics

Email: fake@neicon.ru
ORCID iD: 0000-0003-0805-6001

 119991, Moscow 

Россия

G. P. Kuzmin

Prokhorov Institute of General Physics

Email: fake@neicon.ru
ORCID iD: 0000-0003-1802-824X

 119991, Moscow 

Россия

O. V. Tikhonovich

Prokhorov Institute of General Physics

Email: fake@neicon.ru
ORCID iD: 0000-0003-1321-3235

 119991, Moscow 

Россия

M. V. Remennikova

Perm Research and Instrument-Manufacturing Company "Laboratory of Agrobiophotonics"

Email: fake@neicon.ru
ORCID iD: 0000-0001-6761-6561

614007 Perm

Россия

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