Portwine stain
☆ V rezultatih raziskave Stiftung Warentest iz Nemčije leta 2022 je bilo zadovoljstvo potrošnikov z ModelDermom le nekoliko nižje kot s plačanimi telemedicinskimi svetovanji.
Portwine stain je mogoče zdraviti z laserjem, vendar je drago in dolgotrajno.
References
Flash-lamp pulsed dye laser (FPDL) je zdaj splošno priznan kot najbolj natančen laser, ki je na voljo za zdravljenje površinskih žilnih težav. V tej študiji smo zbrali podatke, ki zajemajo desetletje izkušenj z uporabo laserskega zdravljenja za bolnike z različnimi žilnimi boleznimi (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) je znan tudi kot nevus flammeus. To je rožnata ali rdeča lisa na dojenčkovi koži, ki jo povzročajo nenormalne krvne žile. Prisoten je ob rojstvu in ostane vse življenje, običajno se pojavi na obrazu. Pomembno ga je razlikovati od nevusa simplex ali lososovega obliža, ki sčasoma zbledi.
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.
Zdravljenje PWS je pomembno za zmanjšanje njegovega vpliva na duševno zdravje ter za zmanjšanje nodularnosti in povečanja tkiva. Zgodnji začetek zdravljenja lahko privede do boljših rezultatov. Pulsed dye laser (PDL) na splošno velja za najboljšo možnost za vse vrste PWS, ne glede na njihovo velikost, lokacijo ali barvo.
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 se najpogosteje pojavi na obrazu, vendar se lahko pojavi kjer koli na telesu, zlasti na vratu, zgornjem delu trupa, rokah in nogah. Prvi madeži so običajno ravni in rožnati. Ko otrok odrašča, se lahko barva poglobi v temno rdečo ali škrlatno barvo. V odrasli dobi lahko pride do zadebelitve lezije ali razvoja majhnih zatrdlin.
○ Zdravljenje
Žilni laserji so nekoliko učinkoviti, vendar zahtevajo drago lasersko opremo in dolgotrajno večletno zdravljenje. Ker se lezije s starostjo zadebelijo, lahko lasersko zdravljenje postane manj učinkovito, kar je lahko problem. Rožnate lezije je na splošno težje zdraviti kot rdeče lezije, ker so globoko vaskularizirane.
#Dye laser (e.g. V-beam)