Portwine stain - Portwine Blettur
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Portwine Blettur (Portwine stain) er hægt að meðhöndla með laser, en það er dýrt og tímafrekt.
References
Flash-lamp pulsed dye laser (FPDL) er nú almennt viðurkennt sem nákvæmasti leysirinn sem til er til að meðhöndla æðavandamál á yfirborði. Í þessari rannsókn söfnuðum við gögnum sem spanna áratuga reynslu af því að nota litarleysismeðferð fyrir sjúklinga með ýmsa æðasjúkdóma (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 einnig þekkt sem nevus flammeus. Það er bleikur eða rauður blettur á húð barns sem stafar af óeðlilegum æðum. Það er til staðar við fæðingu og helst alla ævi og birtist venjulega í andliti. Það er mikilvægt að greina það frá nevus simplex eða laxaplástri, sem dofnar með tímanum.
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.
Meðhöndlun PWS er mikilvæg til að draga úr áhrifum þess á geðheilsu og til að draga úr hnúðamyndun og vefjastækkun. Ef meðferð hefst snemma getur það leitt til betri árangurs. Pulsed dye laser (PDL) er almennt talinn besti kosturinn fyrir allar gerðir af PWS, sama stærð þeirra, hvar þær eru eða litur.
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 blettur (portwine stain) kemur oftast fyrir í andliti en getur birst hvar sem er á líkamanum, sérstaklega á hálsi, efri bol, handleggjum og fótleggjum. Snemma blettir eru venjulega flatir og bleikir í útliti. Þegar barnið þroskast getur liturinn dýpkað í dökkrauðan eða fjólubláan lit. Á fullorðinsárum getur komið fram þykknun á sárinu eða myndun lítilla kekki.
○ Meðferð
Æðaleysir eru nokkuð áhrifaríkar en krefjast dýrs leysibúnaðar og langtímameðferðar yfir nokkur ár. Þar sem meiðsli þykkna með aldrinum getur lasermeðferð orðið óvirkari, sem getur verið vandamál. Almennt er erfiðara að meðhöndla bleikar skemmdir en rauðar vegna þess að þær eru djúpt æðaþrengdar.
#Dye laser (e.g. V-beam)