Treatment of Birt-Hogg-Dube syndrome with erbium : YAG laser

We describe a female patient with Birt-Hogg-Dube syndrome presenting with m ultiple, disfiguring papules on the cheeks, nose, and ears. In addition, th ere was evidence of photoaggravation and inflammatory processes in this cas e. The patient was treated with an erbium:YAG laser. Although the lesions c ould be successfully ablated up to the papillary dermis without scar format ion, a relapse was observed after 6 months. Thus deeper laser ablations may possibly prevent relapses from dermal residual lesions.