Portwine stain - 焰色痣https://en.wikipedia.org/wiki/Port-wine_stain
焰色痣 (Portwine stain) 是由皮肤毛细血管畸形引起的皮肤变色。它们因颜色得名,类似葡萄酒中波特酒的红色。焰色痣 (Portwine stain) 是一种毛细血管畸形,出生时即可见,且终生存在。受影响的皮肤面积会随身体的生长按比例扩大。

焰色痣 (Portwine stain) 最常出现在面部,也可能出现在身体的任何部位,尤其是颈部、上半身、手臂和腿部。早期病灶通常呈扁平且呈粉红色。随着孩子的成长,颜色可能加深为深红色或紫色。成年后,病变可能增厚或形成小肿块。

治疗
血管激光治疗有效,但需要昂贵的激光设备并进行数年的长期治疗。随着年龄增长,病变会变厚,激光的效果可能下降,这是一大挑战。粉红色病变通常比红色病变更难治疗,因为其血管位于更深层。
#Dye laser (e.g. V-beam)
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  • 焰色痣 (Portwine stain) 可以通过激光治疗,但费用昂贵且需要较长时间。
    References A retrospective 10 years‐ experience overview of dye laser treatments for vascular pathologies 37632184 
    NIH
    Flash-lamp pulsed dye laser (FPDL) 目前被广泛认为是可用于治疗表面血管问题的最精确的激光。在这项研究中,我们收集了过去十年使用染料激光治疗各种血管疾病患者的经验数据,包括毛细血管扩张(telangiectasia)、酒渣鼻(rhinophyma)、葡萄酒斑(port‑wine stains)、樱桃血管瘤(cherry angiomas)、蜘蛛痣(spider angiomas)以及血管肿瘤(如樱桃血管瘤(cherry angiomas)、婴儿血管瘤(infantile hemangiomas)、葡萄酒斑(port‑wine stains)、酒渣鼻(rhinophyma)、蜘蛛痣(spider angiomas)和毛细血管扩张(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
     Nevus Flammeus 33085401 
    NIH
    Port-wine stain (PWS) 也称为 nevus flammeus。它是婴儿皮肤上由异常血管形成的粉红色或红色斑块。该斑块在出生时即存在,终生不退,常见于面部。重要的是要将其与单纯痣或鲑鱼斑区分开,后者会随时间褪色。
    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.
     Consensus Statement for the Management and Treatment of Port-Wine Birthmarks in Sturge-Weber syndrome 33175124 
    NIH
    治疗 PWS 对于减轻其对心理健康的影响以及降低结节和组织肿大的风险非常重要。尽早开始治疗可能会带来更好的结果。Pulsed dye laser (PDL) 被广泛认为是治疗所有类型 PWS 的最佳选择,无论其大小、位置或颜色。
    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.