Portwine stain - 火焔状母斑
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ドイツの2022年Stiftung Warentestの結果では、ModelDermに対する消費者満足度は有料の遠隔医療相談よりもわずかに低いだけでした。
ドイツの2022年Stiftung Warentestの結果では、ModelDermに対する消費者満足度は有料の遠隔医療相談よりもわずかに低いだけでした。
火焔状母斑 (Portwine stain) はレーザーで治療できますが、治療には費用と時間がかかります。
relevance score : -100.0%
ReferencesFlash-lamp pulsed dye laser (FPDL) は、現在、表在性血管病変の治療に利用できる最も有効なレーザーとして広く認識されています。本研究では、さまざまな血管疾患を有する患者に対し、FPDL を用いた治療の 10 年にわたる経験データを収集しました（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) は nevus flammeus とも呼ばれます。これは、異常な血管により生じる、赤ちゃんの皮膚に見られるピンク色または赤色の斑点です。出生時に存在し、生涯にわたって残り、主に顔に出現します。時間とともに自然に消退する単純母斑やサーモンパッチとは区別することが重要です。
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の治療は、精神的健康への影響や結節形成、組織肥大を抑えるために重要です。早期に治療を開始すると、より良い結果が得られる可能性があります。Pulsed dye laser (PDL) は、サイズ・場所・色に関係なく、すべてのタイプの PWS に対して最良の選択肢と広く考えられています。
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.
火焔状母斑 (portwine stain) は出生時に認められる毛細血管奇形で、生涯にわたって持続します。影響を受けた皮膚の範囲は、全身の成長に合わせて拡大します。
火焔状母斑 (portwine stain) は顔に最も多く見られますが、首、胴体上部、腕、脚など、体のどこにでも発生する可能性があります。初期の病変は平らでピンク色ですが、子どもが成長するにつれて濃い赤や紫に変化することがあります。成人になると、病変が肥厚したり、小さなしこりができたりすることがあります。
○ 処理
血管レーザーは一定の効果がありますが、高価な機器と数年にわたる長期治療が必要です。年齢とともに病変が厚くなるため、レーザー治療の効果が低下しやすく、これが問題となることがあります。ピンク色の病変は血管が深く走行しているため、一般に赤色の病変よりも治療が難しいです。
#Dye laser (e.g. V-beam)