Clinical Scorecard: Lasers trigger pigmentation from past gold therapy

At a Glance

Key Highlights

• Two patients developed laser-induced chrysiasis after gold salt therapy.
• Histopathologic findings showed dermal metallic deposits.
• A history of gold salt use is critical before laser treatments.

Guideline-Based Recommendations

Diagnosis

• Consider a history of chrysotherapy in patients with blue-gray pigmentation.

Management

• Consider treatment options for laser-induced chrysiasis.

Monitoring & Follow-up

• Monitor for treatment response and potential side effects.

Risks

• Short- or ultrashort-pulse laser procedures may exacerbate pigmentation.

Patient & Prescribing Data

Patients with a history of gold salt therapy experiencing pigmentation changes.

Treatment response can vary.

Clinical Best Practices

• Obtain a thorough patient history regarding gold salt therapy before laser treatments.

Related Resources & Content

• Journal of Cosmetic Dermatology