Portwine stain - 葡萄酒色斑https://en.wikipedia.org/wiki/Port-wine_stain
葡萄酒色斑 (Portwine stain) 是由皮膚毛細血管畸形引起的人體皮膚變色。它們因其顏色而得名,其顏色與葡萄牙的紅酒波特酒相似。 葡萄酒色斑 (portwine stain) 是一種微血管畸形,出生時即可見到。 葡萄酒色斑 (portwine stain) 終生堅持。受影響的皮膚面積與全身生長成比例地增長。

葡萄酒色斑 (portwine stain) 最常出現在臉部,但也可能出現在身體的任何部位,特別是頸部、上半身、手臂和腿部。早期污漬通常呈扁平狀且粉紅色。隨著孩子的成熟,顏色可能會加深為深紅色或紫色。成年後,病灶可能會增厚或形成小腫塊。

治療
血管雷射有一定效果,但需要昂貴的雷射設備和數年的長期治療。由於病變隨著年齡的增長而變厚,雷射治療的效果可能會降低,這可能是一個問題。粉紅色病變通常比紅色病變更難治療,因為它們血管化較深。
#Dye laser (e.g. V-beam)
☆ 德國 Stiftung Warentest 2022 年的結果顯示,消費者對 ModelDerm 的滿意度僅略低於付費遠距醫療諮詢。
  • 葡萄酒色斑 (Portwine stain)可以用雷射治療,但價格昂貴且耗時。
    References A retrospective 10 years‐ experience overview of dye laser treatments for vascular pathologies 37632184 
    NIH
    Flash-lamp pulsed dye laser (FPDL) 目前被廣泛認為是可用於治療表面血管問題的最精確的雷射。在這項研究中,我們收集了十年來使用染料雷射治療各種血管疾病患者的經驗數據 (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
     Nevus Flammeus 33085401 
    NIH
    Port-wine stain (PWS) 也稱為 nevus flammeus 。它是嬰兒皮膚上由異常血管引起的粉紅色或紅色斑塊。它在出生時就存在並終生存在,通常出現在臉上。重要的是要將其與單純痣或鮭魚斑區分開來,後者會隨著時間的推移而褪色。
    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
    治療 PWS 對於減少對心理健康的影響以及減少結節和組織腫大非常重要。儘早開始治療可能會帶來更好的結果。 Pulsed dye laser (PDL) 被廣泛認為是所有類型 PWS 的最佳選擇,無論其大小、位置或顏色。
    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.