Portwine stain
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I 2022 Stiftung Warentest-resultaterne fra Tyskland var forbrugernes tilfredshed med ModelDerm kun lidt lavere end med betalte telemedicinske konsultationer.
Portwine stain kan behandles med en laser, men det er dyrt og tidskrævende.
relevance score : -100.0%
ReferencesFlash‑lamp pulsed dye laser (FPDL) er nu bredt anerkendt som den mest præcise laser til behandling af overfladiske vaskulære problemer. I denne undersøgelse indsamlede vi data fra ti års erfaring med farvelaserbehandling af patienter med forskellige vaskulære tilstande (telangiectasia, rhinophyma, port‑wine stains, cherry‑ and spider‑angiomas samt vaskulære tumorer såsom cherry‑angiomas, infantile hemangiomas, port‑wine stains, rhinophyma, spider‑angiomas og 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) er også kendt som nevus flammeus. Det er en lyserød eller rød plet på en babys hud, forårsaget af unormale blodkar. Den er til stede ved fødslen og forbliver livet ud, og forekommer typisk i ansigtet. Det er vigtigt at skelne den fra en nevus simplex eller lakseplaster, som falmer over tid.
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.
Behandling af PWS er vigtig for at reducere dens indvirkning på den mentale sundhed samt for at mindske nodularitet og vævsforstørrelse. Tidlig påbegyndelse af behandlingen kan give bedre resultater. Pulsed dye laser (PDL) betragtes som den bedste mulighed for alle typer af PWS, uanset størrelse, placering eller farve.
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 stain forekommer oftest i ansigtet, men kan også ses på andre steder, især halsen, overkroppen, arme og ben. Tidlige læsioner er typisk flade og lyserøde. Efterhånden som barnet vokser, kan farven blive dybere – mørkerød eller lilla. I voksenalderen kan læsionen blive tykkere og udvikle små knuder.
○ Behandling
Vaskulære lasere er effektive, men de kræver dyrt udstyr og kan kræve flere års behandling. Når læsionerne bliver tykkere med alderen, kan laserbehandlingen blive mindre effektiv, hvilket udgør en udfordring. Lyserøde læsioner er generelt sværere at behandle end røde, fordi de er dybt vaskulariserede.
#Dye laser (e.g. V-beam)