Angioma serpiginosum (AS) is a rare vascular naevoid disorder due to e
ctatic dilation of capillaries in the papillary dermis. The condition
is found almost exclusively in females who have grouped erythematous p
unctate lesions usually on the lower limbs or buttocks, which may be u
nsightly. We report five patients with AS treated using a Candela SPLT
1 pulsed tunable dye laser, All patients had a good to excellent respo
nse, The lesion resolved in one patient, virtually resolved in two and
is considerably improved in a further patient in whom treatment is co
ntinuing. In one patient, the angiomatous lesion improved but the pati
ent developed hyperpigmentation at the treatment site and the treatmen
t has been temporarily suspended, The results suggest that treatment u
sing the pulsed dye laser is very effective for AS and, in most patien
ts, produces an excellent cosmetic result.