Portwine stain - Portwine Mrlja
☆ U rezultatima Stiftung Warentest-a za 2022. iz Njemačke, zadovoljstvo potrošača ModelDerm-om bilo je samo nešto niže nego s plaćenim telemedicinskim konsultacijama.
Portwine Mrlja (Portwine stain) se može tretirati laserom, ali je skupo i dugotrajno.
References
Flash-lamp pulsed dye laser (FPDL) je sada široko poznat kao najprecizniji dostupan laser za tretiranje vaskularnih problema na površini. U ovoj studiji prikupili smo podatke koji obuhvataju deceniju iskustva korišćenja laserskog tretmana za pacijente sa različitim vaskularnim stanjima (telangiectasia, rhinophyma, port-wine stains, cherry and spider angiomas, and vascular tumors such as cherry angiomas, infantile hemangiomas, port wine stains, rhinophyma, spider angiomas, and telangiectasia) .
The Flash‐lamp pulsed dye laser (FPDL) is nowadays considered the most precise laser currently on the market for treating superficial vascular lesions. In this study, we gathered data from 10 years of experience regarding dye laser treatment of patients presenting vascular malformations such as telangiectasia, rhinophyma, port‐wine stain, cherry and spider angioma and vascular tumours: cherry angioma, infantile haemangioma, port wine stain, rhinophyma, spider angioma, telangiectasia
The Flash‐lamp pulsed dye laser (FPDL) is nowadays considered the most precise laser currently on the market for treating superficial vascular lesions. In this study, we gathered data from 10 years of experience regarding dye laser treatment of patients presenting vascular malformations such as telangiectasia, rhinophyma, port‐wine stain, cherry and spider angioma and vascular tumours: cherry angioma, infantile haemangioma, port wine stain, rhinophyma, spider angioma, telangiectasia
Port-wine stain (PWS) je također poznat kao nevus flammeus. To je ružičasta ili crvena mrlja na bebinoj koži uzrokovana abnormalnim krvnim sudovima. Prisutan je pri rođenju i ostaje doživotno, obično se pojavljuje na licu. Važno je razlikovati ga od nevus simpleksa ili lososa, koji s vremenom blijedi.
Nevus flammeus or port-wine stain (PWS) is a non-neoplastic congenital dermal capillary hamartomatous malformation presenting as a pink or red patch on a newborn's skin. It is a congenital skin condition that can affect any part of the body and persists throughout life. The nevus flammeus is a well-defined, often unilateral, bilateral, or centrally positioned pink to red patch that appears on the face at birth and is made up of distorted capillary-like vessels. It needs to be differentiated from a nevus simplex/salmon patch, which is usually seen along the midline and disappears over time. An acquired port-wine stain, clinically and histopathologically indistinguishable from congenital capillary malformation, has been reported to develop in adolescents or adults, usually following trauma.
Nevus flammeus or port-wine stain (PWS) is a non-neoplastic congenital dermal capillary hamartomatous malformation presenting as a pink or red patch on a newborn's skin. It is a congenital skin condition that can affect any part of the body and persists throughout life. The nevus flammeus is a well-defined, often unilateral, bilateral, or centrally positioned pink to red patch that appears on the face at birth and is made up of distorted capillary-like vessels. It needs to be differentiated from a nevus simplex/salmon patch, which is usually seen along the midline and disappears over time. An acquired port-wine stain, clinically and histopathologically indistinguishable from congenital capillary malformation, has been reported to develop in adolescents or adults, usually following trauma.
Liječenje PWS-a je važno za smanjenje njegovog utjecaja na mentalno zdravlje i za smanjenje nodularnosti i uvećanja tkiva. Rani početak liječenja može dovesti do boljih rezultata. Pulsed dye laser (PDL) se široko smatra najboljom opcijom za sve vrste PWS, bez obzira na njihovu veličinu, gdje se nalaze ili njihovu boju.
Treatment of PWB is indicated to minimize psychosocial impact and diminish nodularity, and potentially tissue hypertrophy. Better outcomes may be attained if treatments are started at an earlier age. In the United States, pulsed dye laser (PDL) is the gold standard for all PWB regardless of the lesion size, location, or color. When performed by experienced physicians, laser treatment can be performed safely on patients of all ages. The choice of using general anesthesia in young patients is a complex decision which must be considered on a case by case basis.
Treatment of PWB is indicated to minimize psychosocial impact and diminish nodularity, and potentially tissue hypertrophy. Better outcomes may be attained if treatments are started at an earlier age. In the United States, pulsed dye laser (PDL) is the gold standard for all PWB regardless of the lesion size, location, or color. When performed by experienced physicians, laser treatment can be performed safely on patients of all ages. The choice of using general anesthesia in young patients is a complex decision which must be considered on a case by case basis.
portwine mrlja (portwine stain) se najčešće javljaju na licu, ali se mogu pojaviti bilo gdje na tijelu, posebno na vratu, gornjem dijelu trupa, rukama i nogama. Rane mrlje su obično ravne i ružičaste po izgledu. Kako dijete sazrijeva, boja može postati tamnocrvena ili ljubičasta. U odrasloj dobi može doći do zadebljanja lezije ili razvoja malih kvržica.
○ Treatment
Vaskularni laseri su donekle efikasni, ali zahtevaju skupu lasersku opremu i dugotrajan tretman tokom nekoliko godina. Kako se lezije debljaju s godinama, laserski tretman može postati manje efikasan, što može predstavljati problem. Ružičaste lezije općenito su teže liječiti od crvenih jer su duboko vaskularizirane.
#Dye laser (e.g. V-beam)