Inflammatory linear verrucous epidermal nevus: why a combined laser therapy

Abstract

Inflammatory linear verrucous epidermal nevus (ILVEN) is a benign cutaneous hamartoma, and more precisely an uncommon variant of the verrucous epidermal nevus. In our case report we describe an ILVEN female patient, resistant to previous treatments but responsive to a combined laser therapy, 10,600-nm CO₂ laser and Fractional CO₂ laser, with good and longstanding results. A complete resolution of the lesion was observed at the 9-month follow-up. The application of lasers has been reported in literature over recent years for resolving ILVEN lesions. Based on our clinical experience, 10,600-nm CO₂ pulsed laser therapy seems to be the best treatment and Fractional CO₂ laser treatment can be regarded as a very promising technique to combine with CO₂ laser for reducing pigment modifications and endowing a more youthful appearance to the treated areas.