Goodman, Cliff et al. and Dosik et al. did not report any side-effects of laser therapy in their patients. In contrast, Green et al.74 report on a 62-year-old black woman who was treated for lupus pernio with flashlamp-pumped pulsed dye laser (6-0-7-1 J/cm2) and developed worsening of her cutaneous sarcoidosis. Ulcerative lesions appeared in both the treated and untreated plaques within 3 weeks of receiving laser treatment.

Because of the inherent risk of eye damage from laser therapy, protective eyewear should be employed.

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