Portwine stain - Portwine Lekesi
☆ Almanya'daki 2022 Stiftung Warentest sonuçlarında ModelDerm'den tüketici memnuniyeti, ücretli teletıp danışmanlıklarından yalnızca biraz daha düşüktü.
Portwine Lekesi (Portwine stain) lazerle tedavi edilebilir ancak pahalı ve zaman alıcıdır.
References
Flash-lamp pulsed dye laser (FPDL) artık yüzey seviyesindeki vasküler sorunların tedavisinde mevcut en hassas lazer olarak geniş çapta tanınmaktadır. Bu çalışmada, çeşitli vasküler rahatsızlıkları olan hastalarda boya lazer tedavisi kullanma konusundaki on yıllık deneyimi kapsayan verileri topladık (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) aynı zamanda nevus flammeus olarak da bilinir. Anormal kan damarlarının neden olduğu bebeğin cildinde pembe veya kırmızı bir lekedir. Doğumda mevcuttur ve ömür boyu kalır, genellikle yüzde görülür. Bunu zamanla solgunlaşan nevüs simpleks veya somon lekesinden ayırmak önemlidir.
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'yi tedavi etmek, ruh sağlığı üzerindeki etkisini azaltmak ve nodülariteyi ve doku büyümesini azaltmak açısından önemlidir. Tedaviye erken başlamak daha iyi sonuçlara yol açabilir. Pulsed dye laser (PDL) , boyutları, nerede oldukları veya renkleri ne olursa olsun, tüm PWS türleri için yaygın olarak en iyi seçenek olarak kabul edilir.
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 lekesi (portwine stain) en sık yüzde ortaya çıkar ancak vücudun herhangi bir yerinde, özellikle de boyunda, üst gövdede, kollarda ve bacaklarda görünebilir. Erken lekeler genellikle düz ve pembe renktedir. Çocuk büyüdükçe renk koyu kırmızı veya morumsu bir renge kadar derinleşebilir. Yetişkinlikte lezyonun kalınlaşması veya küçük topaklar oluşması meydana gelebilir.
○ Tedavi
Vasküler lazerler bir dereceye kadar etkilidir ancak pahalı lazer ekipmanı ve birkaç yıl süren uzun süreli tedavi gerektirir. Lezyonlar yaşla birlikte kalınlaştıkça lazer tedavisinin etkinliği azalabilir ve bu da sorun yaratabilir. Pembe lezyonların tedavisi genellikle kırmızı lezyonlara göre daha zordur çünkü derin vaskülarizasyona sahiptirler.
#Dye laser (e.g. V-beam)