Portwine stain - Mrlja Od Portwinea
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Mrlja Od Portwinea (Portwine stain) može se tretirati laserom, ali je skupo i dugotrajno.
References
Flash-lamp pulsed dye laser (FPDL) je sada naširoko priznat kao najprecizniji laser dostupan za liječenje površinskih vaskularnih problema. U ovoj smo studiji prikupili podatke koji obuhvaćaju desetljeće iskustva u korištenju tretmana laserom za bojenje pacijenata s 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 žilama. Prisutan je pri rođenju i ostaje cijeli život, obično se pojavljuje na licu. Važno ga je razlikovati od nevusa simplexa ili mrlje lososa, koji s vremenom izblijedi.
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 važno je kako bi se smanjio njegov utjecaj na mentalno zdravlje i kako bi se smanjila nodularnost i povećanje tkiva. Rano započinjanje liječenja može dovesti do boljih rezultata. Pulsed dye laser (PDL) se općenito smatra najboljom opcijom za sve vrste PWS-a, bez obzira na njihovu veličinu, gdje se nalaze ili 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.
mrlja od portwinea (portwine stain) se najčešće pojavljuju na licu, ali se mogu pojaviti bilo gdje na tijelu, osobito na vratu, gornjem dijelu trupa, rukama i nogama. Prve mrlje obično su ravne i ružičaste. Kako dijete sazrijeva, boja se može produbiti do tamnocrvene ili ljubičaste boje. U odrasloj dobi može doći do zadebljanja lezije ili razvoja malih kvržica.
○ Liječenje
Vaskularni laseri su donekle učinkoviti, ali zahtijevaju skupu lasersku opremu i dugotrajno liječenje tijekom nekoliko godina. Kako se lezije s godinama zadebljaju, laserski tretman može postati manje učinkovit, što može biti problem. Ružičaste lezije općenito je teže liječiti od crvenih jer su duboko vaskularizirane.
#Dye laser (e.g. V-beam)