Portwine stain
☆ У резултатима Стифтунг Варентест-а за 2022. из Немачке, задовољство потрошача МоделДерм-ом је само нешто ниже него са плаћеним телемедицинским консултацијама.
Portwine stain се може лечити ласером, али је скупо и дуготрајно.
References
Flash-lamp pulsed dye laser (FPDL) је сада широко признат као најпрецизнији доступан ласер за лечење васкуларних проблема на површинском нивоу. У овој студији прикупили смо податке који обухватају деценију искуства коришћења ласерског третмана за пацијенте са различитим васкуларним стањима (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) је такође познат као nevus flammeus. То је ружичаста или црвена мрља на бебиној кожи узрокована абнормалним крвним судовима. Присутан је при рођењу и остаје доживотно, обично се појављује на лицу. Важно је разликовати га од невус симплекса или лососа, који временом бледи.
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.
Лечење ПВС је важно за смањење његовог утицаја на ментално здравље и за смањење нодуларности и увећања ткива. Рани почетак лечења може довести до бољих резултата. Pulsed dye laser (PDL) се широко сматра најбољом опцијом за све типове ПВС, без обзира на њихову величину, где се налазе или боју.
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 се најчешће јављају на лицу, али се могу појавити било где на телу, посебно на врату, горњем делу трупа, рукама и ногама. Ране мрље су обично равне и ружичасте по изгледу. Како дете сазрева, боја се може продубити до тамноцрвене или љубичасте боје. У одраслом добу може доћи до задебљања лезије или развоја малих квржица.
○ Треатмент
Васкуларни ласери су донекле ефикасни, али захтевају скупу ласерску опрему и дуготрајан третман током неколико година. Како се лезије дебљају са годинама, ласерски третман може постати мање ефикасан, што може бити проблем. Ружичасте лезије се генерално теже лече него црвене јер су дубоко васкуларизоване.
#Dye laser (e.g. V-beam)