Portwine stain
☆ Nos resultados do Stiftung Warentest de 2022 da Alemanha, a satisfação do consumidor com o ModelDerm foi apenas ligeiramente inferior do que com as consultas pagas de telemedicina.
Portwine stain pode ser tratado com laser, mas é caro e demorado.
References
Flash-lamp pulsed dye laser (FPDL) é agora amplamente reconhecido como o laser mais preciso disponível para o tratamento de problemas vasculares de nível superficial. Neste estudo, coletamos dados abrangendo uma década de experiência no uso de tratamento com laser de corante para pacientes com diversas condições vasculares (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) também é conhecido como nevus flammeus. É uma mancha rosa ou vermelha na pele do bebê causada por vasos sanguíneos anormais. Está presente desde o nascimento e permanece por toda a vida, geralmente aparecendo no rosto. É importante distingui-lo de um nevo simples ou mancha salmão, que desaparece com o tempo.
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.
O tratamento da SPW é importante para reduzir o seu impacto na saúde mental e diminuir a nodularidade e o aumento dos tecidos. Iniciar o tratamento precocemente pode levar a melhores resultados. Pulsed dye laser (PDL) é amplamente considerada a melhor opção para todos os tipos de PWS, independentemente do tamanho, onde estão ou da cor.
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 ocorre com mais frequência na face, mas pode aparecer em qualquer parte do corpo, principalmente no pescoço, parte superior do tronco, braços e pernas. As manchas iniciais são geralmente planas e de aparência rosada. À medida que a criança amadurece, a cor pode se aprofundar para um vermelho escuro ou arroxeado. Na idade adulta pode ocorrer espessamento da lesão ou desenvolvimento de pequenos nódulos.
○ Tratamento
Os lasers vasculares são um tanto eficazes, mas requerem equipamentos de laser caros e tratamento de longo prazo durante vários anos. À medida que as lesões engrossam com a idade, o tratamento a laser pode tornar-se menos eficaz, o que pode ser um problema. As lesões rosadas são geralmente mais difíceis de tratar do que as lesões vermelhas porque são profundamente vascularizadas.
#Dye laser (e.g. V-beam)