Portwine stain - Portwine-Tahra
☆ Saksan vuoden 2022 Stiftung Warentest -tuloksissa kuluttajien tyytyväisyys ModelDermiin oli vain hieman alhaisempi kuin maksullisiin telelääketieteen konsultaatioihin.
Portwine-Tahra (Portwine stain) voidaan hoitaa laserilla, mutta se on kallista ja aikaa vievää.
References
Flash-lamp pulsed dye laser (FPDL) on nyt laajalti tunnustettu tarkimmaksi saatavilla olevaksi laseriksi pintatason verisuoniongelmien hoitoon. Tässä tutkimuksessa keräsimme tietoja, jotka kattavat vuosikymmenen kokemuksen värilaserhoidon käytöstä potilailla, joilla on erilaisia verisuonisairauksia (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) tunnetaan myös nimellä nevus flammeus. Se on vaaleanpunainen tai punainen laikku vauvan iholla, jonka aiheuttavat epänormaalit verisuonet. Se on läsnä syntymähetkellä ja pysyy koko elämän, tyypillisesti kasvoilla. On tärkeää erottaa se nevus simplexistä tai lohilaastarista, jotka haalistuvat ajan myötä.
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.
PWS:n hoito on tärkeää vähentää sen vaikutusta mielenterveyteen ja vähentää kyhmyjen muodostumista ja kudosten laajentumista. Hoidon varhainen aloittaminen voi johtaa parempiin tuloksiin. Pulsed dye laser (PDL) pidetään yleisesti parhaana vaihtoehdona kaikentyyppisille PWS-järjestelmille niiden koosta, sijainnista tai väristä riippumatta.
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-tahra (portwine stain) esiintyy useimmiten kasvoilla, mutta voi esiintyä kaikkialla vartalossa, erityisesti kaulassa, vartalon yläosassa, käsissä ja jaloissa. Varhaiset tahrat ovat yleensä litteitä ja vaaleanpunaisia. Lapsen kypsyessä väri voi syveneä tummanpunaiseksi tai purppuraiseksi. Aikuisella iällä voi esiintyä vaurion paksuuntumista tai pienten kyhmyjen muodostumista.
○ Hoito
Verisuonilaserit ovat jonkin verran tehokkaita, mutta vaativat kalliita laserlaitteita ja pitkäkestoista useiden vuosien hoitoa. Koska vauriot paksuuntuvat iän myötä, laserhoito voi heiketä, mikä voi olla ongelma. Vaaleanpunaisia vaurioita on yleensä vaikeampi hoitaa kuin punaisia, koska ne ovat syvästi vaskularisoituneita.
#Dye laser (e.g. V-beam)