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IP Indian Journal of Clinical and Experimental Dermatology


Chrysiasis induced by Q Switched Nd:YAG laser: A case report and review of literature


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Author Details : Hema Pant, Kritika Pandey

Volume : 2, Issue : 4, Year : 2016

Article Page : 177-179


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Abstract

Chrysiasis refers to blue to slate gray skin pigmentation induced by prolonged treatment with gold salts. Although now an uncommon modality for treatment of arthritis, chrysiasis may still be seen as it can develop even decades after discontinuation of gold therapy. We hereby report a rare case of Q-switched Nd:YAG laser induced chrysiasis in a 65 year old woman who underwent laser treatment for melasma with immediate blue-gray discoloration. She was a known case of rheumatoid arthritis with history of treatment with oral gold salts about 20 years ago. Interestingly this is the first case of chrysiasis induced by laser being reported outside of US and Canada. Dermatologists must be aware of risk of laser induced chrysiasis in individuals with history of gold therapy and this point should be included in history taking as a leading question especially in patients who have received treatment for autoimmune arthiritis (PsA, RA).

Key-words:
Q Switched Nd:YAG laser, Chrysiasis
Key Messages: Dermatologists must be aware of risk of laser induced chrysiasis in individuals with history of gold therapy and this point should be included in history taking as a leading question especially in patients who have received treatment for autoimmune arthiritis (PsA, RA)

 

How to cite : Pant H, Pandey K, Chrysiasis induced by Q Switched Nd:YAG laser: A case report and review of literature. IP Indian J Clin Exp Dermatol 2016;2(4):177-179

Copyright © 2016 by author(s) and IP Indian J Clin Exp Dermatol. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)