Effectiveness of Pulsed Dye Laser Treatment in Tufted Angioma: A Promising Intervention

Abstract

Introduction

Tufted angioma (TA) is a rare benign vascular tumor usually occurring in the first year of life. It may present as reddish papules or purplish red to black plaques. Tender lesions commonly affect the neck, upper trunk, and shoulders. Histologic tufts of capillaries infiltrating the dermis in a “cannon ball” distribution pattern confirm the diagnosis. However, effective treatments for TA are scarce. Pulsed dye laser (PDL) is an alternative therapy for TA, particularly concerning cosmetics and pain relief. This case report demonstrates the effectiveness of PDL as a treatment for TA.

Case

We report a 15-year-old girl with five-year history of painful purplish red plaques on her left cheek, neck, chest, left shoulder, and back. Histopathological examination from skin biopsy showed discrete “cannon ball” pattern in the dermis. Laboratory examination revealed normal platelet count and fibrinogen level. Based on these presentations, the diagnosis of TA without complications was made. We treated the lesion using 595-nm PDL with 6.5−10 J/cm² fluence of, 1.5 ms pulsed duration, and 5−7 mm spot size every three weeks. Reductions in redness and pain were seen after four sessions of treatment.

Discussion

PDL promotes selective vascular damage with minimal injury to the surrounding skin. Capillary tufts in TA could therefore serve as a target for laser treatment, which may result in fading redness and pain reduction.

Conclusion

PDL is effective in reducing redness and pain in TA.

Keywords:

• pulse dye laser
• tufted angioma
• vascular tumor

Ethical Statement

The publications of images were included in the parents’ consent along with the patient consent for publication of the case. Institutional approval from The Research Ethic Committee of Dr. Hasan Sadikin General Hospital Bandung, Indonesia has been obtained to publish the case details (approval number: LB.02.01/X.6.5/314/2023).

Consent Statement

The authors certify that they have obtained all appropriate patient and patient’s parents consent forms. The patient and her parents signed a consent form for the publication of the case details and images.

Acknowledgments

The authors would like to thank the staff of Department of Dermatology and Venereology, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia.

Disclosure

The authors reports no conflicts of interest in this work.