Multiple miliary osteoma cutis treatment response to Q-switched Nd:YAG laser: A case report

Augustin C Barolet; Ivan V Litvinov; Daniel Barolet

doi:10.1177/2050313X20910562

Multiple miliary osteoma cutis treatment response to Q-switched Nd:YAG laser: A case report

SAGE Open Med Case Rep. 2020 Mar 4:8:2050313X20910562. doi: 10.1177/2050313X20910562. eCollection 2020.

Authors

Augustin C Barolet¹, Ivan V Litvinov^{1

2}, Daniel Barolet^{2

3}

Affiliations

¹ Department of Surgery, Experimental Surgery Graduate Training Program, McGill University, Montreal, QC, Canada.
² Division of Dermatology, McGill University Health Centre, Montreal, QC, Canada.
³ RoseLab Skin Optics Research Laboratory, Laval, QC, Canada.

Abstract

Facial multiple miliary osteoma cutis is a variant of osteoma cutis usually occurring in women with a previous history of acne vulgaris. Successful ablative laser treatment has been reported using both CO2 and Er:YAG lasers among other invasive treatment modalities, like surgical removal. We report a patient with biopsy-proven facial multiple miliary osteoma cutis responding to non-ablative Q-switched Nd:YAG laser therapy. The patient had excellent cosmesis without textural changes or hypopigmentation despite her Asian background after three sessions over 6 months. Multiple miliary osteoma cutis is therefore now amenable to non-surgical non-ablative therapy by using Q-switched Nd:YAG laser therapy reducing the risk of textural changes and hypopigmentation, especially in dark complexion and high-risk individuals. To our knowledge, this treatment approach has not been previously reported.

Keywords: Nd:YAG; Osteoma cutis; acne; bone; laser; non-ablative; skin; therapy.

Publication types

Case Reports