Spots on the back of the hands are a common reason for consultation.
It is one of the applications of the laser that should show its greatest benefits.
A procedure on the back of the hands should create very little disability.
The manual fractional laser technique, although efficient, generates little adherence to the therapy.
The best preventative procedures should be done before they become visible again.
By Adrian Rios, MD
Unilaser medical
There are several points to consider in the treatment of lentigines on the hands:
- They are insidious, appearing and growing very slowly.
- They are recurrent in all therapies.
- The discomfort after the procedure is high.
- Often not all of them are removed.
- Many are actually warts.
There is recent evidence suggesting a viral origin for warty-looking spots on the skin of the back of the hands, which explains the failure of many treatments to eradicate lentigines on the back of the hands. Many patients prefer ablative lasers because they see greater benefit.
Journal of Dermatological Science (2003) 31, 143 /149
Detection and sequences of human papillomavirus
DNA in nongenital seborrhoeic keratosis of
immunopotent individuals
The following case showed a particularly good result with the ablative laser approach. The low pigment contrast did not indicate a color-selective laser approach.