Idiopathic isolated perioral hyperpigmentation and treatment with the erbium:YAG laser.

Perioral hyperpigmentation is commonplace in practice; it can be a physiological finding or reflect a systemic life-threatening disease or syndromes, this is treated with different types of application. A 20-year-old female with isolated perioral hyperpigmentation and treatment of this lesion with an erbium:YAG laser is shown. There were no other signs and symptoms in this patient. Another pathological finding could not be determined during examinations, laboratory tests and radiological studies. The erbium:YAG laser was applied to the hyperpigmented area. There was no complication after laser application and an aesthetically successful result with patient satisfaction was achieved in both early and late terms. According to our knowledge this is the first report, which has described the isolated idiopathic type of perioral hyperpigmentation.