White Fibrous Papulosis of the Neck Treated With Fractionated 1550-nm Erbium Glass Laser: A Case Report

Abstract

Introduction: Despite its clinical features of multiple, confluent, small, whitish, smooth, and clear-demarcate papules on the neck and back, the pathogenesis of white fibrous papulosis of the neck (WFPN) is still unknown. The lesions increase progressively and do not regress over time. However, no effective treatment has yet been identified. Case Report: We reported the successful results of a female patient receiving efficacious treatment for her extensive lesions of WFPN with nonablative fractional photothermolysis laser (Fractionated 1550-Erbium Glass laser). Conclusion: This photothermolysis laser could then be suggestive as the therapeutic option for WFPN.

White fibrous papulosis of the neck: A case report

“…2 And also a case treated successfully with nonablative fractional photothermolysis laser (Fractionated 1550-nm erbium glass laser) has been reported. 3 Our case was followed without treatment.…”

White Fibrous Papulosis of the Neck in a 70-Year-Old Female: A Case Report

“…As this condition is benign and only causes cosmetic concerns for some people, only a few patients tend to seek treatment. Although there is limited information regarding WFPN treatment, a case report described the use of laser therapy, such as fractionated 1550 nm erbium glass laser, which resulted in papule clearance without adverse effects [ 18 ]. Co2 laser application also showed an excellent cosmetic resolution with improvement in itching [ 19 ].…”

White Fibrous Papulosis of the Axillae and Neck

“…Diagnosis is made by biopsy, which can confirm the clinical diagnosis of white fibrous papulosis. Histological examination of white fibrous papulosis reveals mild orthokeratotic hyperkeratosis, haphazardly arranged bundles of collagen fibers in the reticular and deep dermis, sparse superficial perivascular infiltrate, elastolysis, and elastic fibers with a normal or decreased diameter [5].…”

“…If the lesions are well circumscribed, then surgical methods may be implemented [3]. There has also been a reported case of successful treatment of extensive papules with non-ablative fractional photothermolysis laser (fractionated 1550-nm Erbium Glass laser; Mosaic, Lutronic Co., Ltd, Seoul, South Korea) [5]. Excision or laser treatment is currently the best treatment option for white fibrous papulosis.…”