Portwine stain
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Portwine stain kan behandles med laser, men det er dyrt og tidskrævende.
References
Flash-lamp pulsed dye laser (FPDL) er nu bredt anerkendt som den mest præcise laser, der er tilgængelig til behandling af vaskulære problemer på overfladeniveau. I denne undersøgelse indsamlede vi data, der spænder over ti års erfaring med at bruge farvelaserbehandling til patienter med forskellige vaskulære tilstande (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) er også kendt som nevus flammeus. Det er en lyserød eller rød plet på en babys hud forårsaget af unormale blodkar. Det er til stede ved fødslen og forbliver for livet, typisk optræder i ansigtet. Det er vigtigt at skelne det 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 dets indvirkning på mental sundhed og for at mindske nodularitet og vævsforstørrelse. At starte behandlingen tidligt kan føre til bedre resultater. Pulsed dye laser (PDL) anses for at være den bedste mulighed for alle typer PWS, uanset deres størrelse, hvor de er eller deres 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 forekomme overalt på kroppen, især på halsen, overkroppen, arme og ben. Tidlige pletter er normalt flade og lyserøde i udseende. Efterhånden som barnet modnes, kan farven blive dybere til en mørkerød eller lilla farve. I voksenalderen kan der forekomme fortykkelse af læsionen eller udvikling af små klumper.
○ Behandling
Vaskulære lasere er noget effektive, men kræver dyrt laserudstyr og langvarig behandling over flere år. Da læsionerne bliver tykkere med alderen, kan laserbehandling blive mindre effektiv, hvilket kan være et problem. Lyserøde læsioner er generelt sværere at behandle end røde læsioner, fordi de er dybt vaskulariserede.
#Dye laser (e.g. V-beam)