Portwine stain - Portwine Dėmė
☆ 2022 m. Stiftung Warentest iš Vokietijos rezultatai rodo, kad vartotojų pasitenkinimas ModelDerm buvo tik šiek tiek mažesnis nei mokamų nuotolinės medicinos konsultacijų.
Portwine Dėmė (Portwine stain) galima gydyti lazeriu, tačiau tai brangu ir atima daug laiko.
References
Flash-lamp pulsed dye laser (FPDL) dabar yra plačiai pripažintas kaip tiksliausias lazeris paviršinio lygio kraujagyslių problemoms gydyti. Šiame tyrime surinkome duomenis, apimančius dešimtmečio patirtį naudojant dažų lazerinį gydymą pacientams, sergantiems įvairiomis kraujagyslių ligomis (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) taip pat žinomas kaip nevus flammeus. Tai rožinė arba raudona dėmė ant kūdikio odos, kurią sukelia nenormaliai kraujagyslės. Jis atsiranda gimus ir išlieka visą gyvenimą, paprastai atsiranda ant veido. Svarbu jį atskirti nuo nevus simplex ar lašišos pleistro, kuris laikui bėgant išblunka.
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 gydymas yra svarbus siekiant sumažinti jo poveikį psichinei sveikatai ir mažinti mazgų susidarymą bei audinių padidėjimą. Anksti pradėjus gydymą, galima pasiekti geresnių rezultatų. Pulsed dye laser (PDL) yra plačiai laikomas geriausiu visų tipų PWS pasirinkimu, neatsižvelgiant į jų dydį, vietą ar spalvą.
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 dėmė (portwine stain) dažniausiai atsiranda ant veido, bet gali atsirasti bet kurioje kūno vietoje, ypač ant kaklo, viršutinės liemens, rankų ir kojų. Ankstyvosios dėmės dažniausiai būna plokščios ir rausvos. Kai vaikas bręsta, spalva gali pagilėti iki tamsiai raudonos arba purpurinės spalvos. Suaugusiame amžiuje pažeidimas gali sustorėti arba susidaryti nedideli gabalėliai.
○ Gydymas
Kraujagyslių lazeriai yra šiek tiek veiksmingi, tačiau jiems reikia brangios lazerinės įrangos ir ilgalaikio, kelerius metus trunkančio gydymo. Kadangi pažeidimai su amžiumi storėja, gydymas lazeriu gali tapti mažiau veiksmingas, o tai gali būti problema. Rožinius pažeidimus paprastai sunkiau gydyti nei raudonus, nes jie yra giliai kraujagyslių.
#Dye laser (e.g. V-beam)