Fractional carbon dioxide laser for facial scarring due to windscreen glass shatter injury.

BACKGROUND: Facial injuries due to flying windscreen glass pieces are common in road accident and require surgical intervention by plastic surgeons to debride, suture, and dress the injuries. Posthealing patients visit dermatologists for further treatment of residual scar tissue. Interestingly, tiny papules or small nodular scars seen on otherwise level background which persists for beyond 3 months (scar modeling time) may actually harbor small fragments of glass. Such lesions can only be treated by fractional CO2 therapy. METHODS: Two patients who had papules and small nodular lesions on the accident scarred areas were subjected to fractional CO2 laser (ultraPulse, Lumenis)with moderate fluence and high density, once and observed over a period of 12 weeks. RESULTS: On targeting the papules and small nodules, tiny particles of glass appeared out of the broken lesions. DISCUSSION: Irrespective of the surgery done on accident victims involving windshield glass injuries, fractional CO2 may be considered at a later stage, especially with presence of papules interspersed in the area of facial scars.

Peripheral T cell lymphoma: not otherwise specified.

Peripheral T cell lymphoma (PTCL) is a heterogeneous group of hematological tumors originating from mature T cells, which constitutes less than 15% of all non-Hodgkins lymphomas in adults. Primary cutaneous PTCL-not otherwise specified (NOS) represent a subgroup of PTCLs with no consistent immunophenotypic, genetic or clinical features. PTCL-NOS frequently has an aggressive course with a tendency for systemic involvement, however, a well-defined therapeutic and prognostic approach has not been outlined yet. We report a case of PTCL-NOS with multiple cutaneous lesions in a young adult male with an emphasis on the treatment modality used.