CASE REPORTSRapid Development of Keratoacanthomas After a Body PeelCOX, SUEELLEN MD Author Information Department of Dermatology, University of North Carolina, North Carolina, Durham, North Carolina Address correspondence and reprint requests to: SueEllen Cox, MD, 2609 North Duke Street, Suite 306, Durham, NC 27704, or e-mail: [email protected] Dermatologic Surgery 29(2):p 201-203, February 2003. Buy Abstract Resurfacing techniques have been traditionally limited to the face because of a lack of predictability and standardization for peeling nonfacial skin. There is a need for medical and surgical intervention for treating nonfacial skin that is actinically damaged. Medium-depth chemical peels (Jessner +35% trichloroacetic acid) remove the photodamaged epidermis to stimulate the production of new collagen in the dermis and remove lesions associated with facial actinic damage, including lentigines and actinic keratoses. Widespread actinic damage is common on the arms and chest. A 70% glycolic acid gel plus 40% trichloroacetic acid peel (Cook Body Peel) is a controlled peel that predictably enables peeling of nonfacial skin in a uniform and safe fashion with specific clinical endpoints. An unusual complication of this body peel is reported. © 2003 by the American Society for Dermatologic Surgery, Inc.
