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June 1985

Posttreatment Complications of the Argon Laser

Author Affiliations

Department of Dermatology Cleveland Clinic Foundation 9500 Euclid Ave Cleveland, OH 44106; Cincinnati

Arch Dermatol. 1985;121(6):714. doi:10.1001/archderm.1985.01660060026006

To the Editor.—  In the May 1984 Archives, Drs Goldman and Bauman1 described the argon laser treatment of a patient with extensive postsolar poikiloderma of the neck. This patient initially responded well to test treatment in July 1982. Her actual treatment was begun on Sept 16 of that year and follow-up photographs taken on Oct 8, 1984 showed excellent whitening of the treated area.Because of distance problems, her later follow-up visits were in the Department of Dermatology at the Cleveland Clinic. Unfortunately, the patient had developed threadlike scar formation in the treated bands (Figure). This resulted in a texture change as well as total depigmentation in those treated areas. Any attempt to blend the untreated bands would require the same treatment parameters. Several test attempts to do this have resulted only in worsening of the scar.The word of caution here is that although the argon laser may be an exceptionally good modality for treating

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