Angioma Treated by Electrodesiccation. Presented by Dr. Klauder.
A man, aged 27, until six weeks before presentation, had a flat, vascular birthmark. It had been destroyed by electrodesiccation, and was then healing. Below the eyelid the outline of the scar could be seen. The patient had been treated previously with x-rays, radium and carbon dioxide and the mercury quartz lamp. At one spot there was chronic radiodermatitis, which was included in the destruction. The angioma was not present at that area, but it required destruction.
Dr. Pfahler: I have nothing to discuss except to congratulate Dr. Klauder on the excellent result. I am always fearful of destruction around the lower eyelid. It is almost certain to cause contraction and produce an ectropion, which must be repaired later by operation. In this instance, there does not seem to have been much else to do ; all the other things had been tried. I think, however, in general that for this type of angioma it is best to use other methods than electrodesiccation. If a contraction results, it has to be relieved by surgical procedure.