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A Piece of My Mind
August 14, 2002


JAMA. 2002;288(6):677. doi:10.1001/jama.288.6.677

"I can't believe I'm doing something so vain," Ingrid declared, settling into the white vinyl treatment chair. "But I hate these." She frowned at the large, brown splotches on her forearms and the backs of her hands.

Ingrid was my last patient on the evening's schedule. A quick and easy case. I calibrated the laser. Q-switched YAG, 532 nanometers in the frequency-doubled mode, fluence at 1.2 joules. The touch screen beeped in response.

She pointed to the large lentigo on her right wrist. "That came when I got sun poisoning," she said. "Itchy bumps came out on the whole arm, right through the sunblock. I was painting outdoors that summer."