In Vivo Reflectance Confocal Microscopy of Gold Microparticles Deposited in the Skin. A Case Report on Cutaneous Chrysiasis

Cutaneous chrysiasis is gold deposition in the dermis, described after parenteral administration of gold salts or after topical exposure to gold‐containing materials. Gold microparticles (GMPs) have versatile therapeutic effects and are increasingly used in medicine. This case report describes the d...

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Veröffentlicht in:Lasers in surgery and medicine 2020-01, Vol.52 (1), p.13-16
Hauptverfasser: Fuchs, Christine S.K., Ardigo, Marco, Haedersdal, Merete, Mogensen, Mette
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Ardigo, Marco
Haedersdal, Merete
Mogensen, Mette
description Cutaneous chrysiasis is gold deposition in the dermis, described after parenteral administration of gold salts or after topical exposure to gold‐containing materials. Gold microparticles (GMPs) have versatile therapeutic effects and are increasingly used in medicine. This case report describes the development of a blue‐gray macule following the facial application of GMPs and laser treatment of acne vulgaris. Dermoscopy showed a nonspecific homogenous blue‐gray pattern, gradually fading over an 8‐month‐period. Reflectance confocal microscopy (RCM) detected hyperreflective, subcellular particles in the papillary dermis, localized around hair follicles, eccrine glands, and inside macrophages. Histopathological evaluation, darkfield illumination with hyperspectral imaging, and neutron activation analysis confirmed the presence of GMPs in the dermis. RCM allowed non‐invasive fast visualization of aggregates of hyperreflective particles in the dermis and can potentially be used for monitoring localized cutaneous chrysiasis and other metal deposition conditions over time. Lasers Surg. Med. © 2019 Wiley Periodicals, Inc.
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source Wiley Online Library Journals Frontfile Complete
subjects Acne
acne vulgaris
Activation analysis
Case reports
Cell activation
Chrysiasis
Confocal microscopy
Deposition
Dermis
Follicles
Glands
Gold
gold microparticles
Hyperspectral imaging
laser treatment
Lasers
localized chrysiasis
Macrophages
Microparticles
Microscopes
Microscopy
Neutron activation analysis
Neutrons
Pollutant deposition
Reflectance
reflectance confocal microscopy
Salts
title In Vivo Reflectance Confocal Microscopy of Gold Microparticles Deposited in the Skin. A Case Report on Cutaneous Chrysiasis
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