Portwine stain
☆ I Stiftung Warentest-resultaten 2022 från Tyskland var konsumentnöjdheten med ModelDerm bara något lägre än med betalda telemedicinkonsultationer.
Portwine stain kan behandlas med laser, men det är dyrt och tidskrävande.
References
Flash-lamp pulsed dye laser (FPDL) är nu allmänt erkänt som den mest exakta lasern som finns tillgänglig för behandling av vaskulära problem på ytnivå. I denna studie samlade vi in data som spänner över ett decenniums erfarenhet av att använda färglaserbehandling för patienter med olika vaskulära tillstånd (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) är också känd som nevus flammeus. Det är en rosa eller röd fläck på en babys hud som orsakas av onormala blodkärl. Det är närvarande vid födseln och stannar för livet, vanligtvis visas i ansiktet. Det är viktigt att skilja det från en nevus simplex eller laxplåster, som bleknar med tiden.
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.
Behandling av PWS är viktigt för att minska dess påverkan på mental hälsa och för att minska nodularitet och vävnadsförstoring. Att påbörja behandlingen tidigt kan leda till bättre resultat. Pulsed dye laser (PDL) anses allmänt vara det bästa alternativet för alla typer av PWS, oavsett storlek, var de är eller färg.
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 förekommer oftast i ansiktet men kan förekomma var som helst på kroppen, särskilt på nacken, överkroppen, armar och ben. Tidiga fläckar är vanligtvis platta och rosa till utseendet. När barnet mognar kan färgen fördjupas till en mörkröd eller lila färg. I vuxen ålder kan förtjockning av lesionen eller utveckling av små klumpar uppstå.
○ Behandling
Vaskulär laser är något effektiv, men kräver dyr laserutrustning och långvarig behandling under flera år. Eftersom lesioner förtjockas med åldern kan laserbehandling bli mindre effektiv, vilket kan vara ett problem. Rosa lesioner är generellt svårare att behandla än röda lesioner eftersom de är djupt vaskulariserade.
#Dye laser (e.g. V-beam)