Pulsed Dye Laser for Sensory Dysesthesias Associated With Chronic Radiation Dermatitis.
Danny Linggonegoro, Bernice Kwong, Kelsey Elizabeth Hirotsu
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Case in brief
Two breast cancer patients with chronic radiation dermatitis (CRD) presented with debilitating sensory dysesthesias unresponsive to conventional treatments. The first patient had a nonhealing chest wall wound and refractory pruritus, achieving complete wound healing and sustained relief after ten sessions of pulsed dye laser (PDL) therapy. The second patient experienced significant reduction in burning from an axillary plaque after four PDL sessions, despite ongoing telangiectasias.
Diagnostic / clinical pearl
Pulsed dye laser therapy may effectively alleviate sensory dysesthesias associated with chronic radiation dermatitis, particularly when combined with comprehensive wound care.
Why it matters
This case highlights the potential of PDL as a novel treatment option for managing refractory sensory symptoms in patients with chronic radiation dermatitis, emphasizing the need for multidisciplinary approaches.