Portwine stain
☆ 2022. gada Stiftung Warentest rezultātos no Vācijas patērētāju apmierinātība ar ModelDerm bija tikai nedaudz zemāka nekā ar maksas telemedicīnas konsultācijām.
Portwine stain var apstrādāt ar lāzeru, bet tas ir dārgi un laikietilpīgi.
References
Flash-lamp pulsed dye laser (FPDL) tagad ir plaši atzīts par visprecīzāko pieejamo lāzeru virsmas līmeņa asinsvadu problēmu ārstēšanai. Šajā pētījumā mēs apkopojām datus, kas aptver desmit gadu pieredzi, izmantojot krāsvielu lāzera ārstēšanu pacientiem ar dažādiem asinsvadu stāvokļiem (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) ir pazīstams arī kā nevus flammeus. Tas ir rozā vai sarkans plankums uz bērna ādas, ko izraisa patoloģiski asinsvadi. Tas parādās dzimšanas brīdī un paliek visu mūžu, parasti parādās uz sejas. Ir svarīgi to atšķirt no nevus simplex vai laša plankuma, kas laika gaitā izbalē.
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 ārstēšana ir svarīga, lai samazinātu tās ietekmi uz garīgo veselību un mazinātu mezgliņu veidošanos un audu paplašināšanos. Ārstēšanas sākšana agrīnā stadijā var nodrošināt labākus rezultātus. Pulsed dye laser (PDL) tiek plaši uzskatīts par labāko variantu visiem PWS veidiem neatkarīgi no to izmēra, atrašanās vietas vai krāsas.
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 stain visbiežāk parādās uz sejas, bet var parādīties jebkurā ķermeņa vietā, īpaši uz kakla, stumbra augšdaļas, rokām un kājām. Agrīnie traipi parasti ir plakani un pēc izskata rozā. Bērnam nobriestot, krāsa var padziļināt līdz tumši sarkanai vai purpursarkanai krāsai. Pieaugušā vecumā bojājums var sabiezēt vai veidoties nelieli kunkuļi.
○ Ārstēšana
Asinsvadu lāzeri ir zināmā mērā efektīvi, taču tiem ir nepieciešamas dārgas lāzera iekārtas un ilgstoša ārstēšana vairāku gadu garumā. Tā kā bojājumi ar vecumu sabiezē, lāzerterapija var kļūt mazāk efektīva, kas var būt problēma. Rozā bojājumus parasti ir grūtāk ārstēt nekā sarkanos bojājumus, jo tie ir dziļi vaskularizēti.
#Dye laser (e.g. V-beam)