Satish S Savant.
Therapeutic regional Dermabrasion in Papular Lichen Amyloidosis of shins.
J Pak Assoc Derma Jan ;10(1):25-31.

Therapeutic regional dermabrasion of shins is a useful surgical method for planing away the persistent pruritic lichenified hyperkeratotic eruptions of papular lichen amyloidosis. Seventeen patients (12 females and 5 males) of 35 to 52 years age having papular lichen amyloido sis on shins, refractory to various medical lines of treatment for 5-12 years duration were subjected to regional dermabrasion. Extensor surfaces (shins) of both lower extremities (34 sites) in all 17 cases were treated by multiple sittings of spot dermabrasion. All 34 sites healed with superficial scarring and complete response (100%) with total clearance of lesions was observed in all 34 sites. Pruritus stopped in all the dermabraded sites immediately. No local recurrence has been observed in any sites over a minimum follow up period of 2 years. Apart from superficial scarring occurring at all 34 sites, the other side effect observed was varying degree of hypopigmentation in 20 out of the 34 sites dermabraded. Complication in the form of parchment like deep atrophic scarring with persistent hypopigmentation, erythema and at places depigmentation were observed, at 4 sites which were dermabraded deeply. Similar complications with delayed wound healing were observed at the 5th site as sequel to secondary bacterial infection following spot dermabrasion.

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