DERMATOPATHOLOGY CASES: Self-Assessment Cases: Editor - Dr Sampurna Roy MD

Digital Images of interesting cases that will include the full spectrum of Dermatopathology, presented in the form of quiz.

The answer of the cases include related links and recent abstracts of articles.

Saturday, December 19, 2009

Answer of Dermatopathology Case 17

Fordyce's Spot (Ectopic sebaceous glands)

Visit: Fordyce's Spot ; Visit: Dermatopathology site


Treatment of Fordyce spots with CO2 laser.Dermatol Surg. 2003 Aug;29(8):869-71.

BACKGROUND: Fordyce spots are heterotopic sebaceous glands that can be located at the lips' vermilion or the oral mucosa. Although this is considered a rathercommon disorder, a treatment for this condition that sometimes affects patientsfrom only a cosmetic viewpoint has not yet been described. OBJECTIVE: To evaluateCO2 superpulsed laser treatment in two subjects with Fordyce spots. METHODS: Two patients with papules and yellowish plaques at the upper lip corresponding to Fordyce spots were treated with coherent Ambulase CO2 superpulsed laser (CoherentMedical, Palo Alto, CA) ; after informed consent was obtained, two to three passeswere performed in one session using 2 and 4 W and a spot size of 2 mm. RESULTS:Complete re-epithelization was observed 2 weeks later with no residual Fordyce papules in the treated area and no side effects. CONCLUSION: Our findings suggestthat CO2 superpulsed laser can be considered a safe and effective treatment forpatients with Fordyce spots, offering excellent cosmetic results.