Port wine stains_Body Meaning

Port wine stains

Also known as grape wine nevus, or mole telangiectasia, appears in the birth, occur in the face, neck, mostly unilateral, occasionally bilateral, sometimes involving the mucosa. The damage initially consists of several light red, dark red or purplish red patches of different sizes, irregular in shape with clear boundaries, not higher than the skin surface, visible capillary dilation, partial or complete fading of pressure, and smooth surface. With age, the color darkens and turns red and purple, and 40% of patients’ lesions will gradually expand, thickening and nodules appear before the age of 40, and they are prone to bleeding after trauma. Port wine stains are relatively flat and rarely raised plaques composed of numerous expanded posterior venules, which are congenital posterior venule malformations. The area of the lesion increases with the growth of the body, and it does not subside throughout the life.

Port wine stains can occur in any part, but they are more common in the face and neck, accounting for 75%-80%, mostly unilateral and more common on the right side. Port wine stains involving both the eye nerve and the maxillary nerve have a 15% chance of being associated with refractory glaucoma. Among patients with port wine stains, 1%-2% have an ipsilateral pial vascular malformation, called Sturge-Weber syndrome.

Because the lesions reach deep into the dermis, conventional treatment methods (such as cryotherapy, high-frequency electricity, ordinary CO2 laser treatment, isotope treatment, etc.) are difficult to remove. Or it is easy to leave scars.

The green laser light emitted by the pulsed dye laser specifically for the treatment of port wine stains can penetrate the epidermis on the lesion very smoothly and enter the lesion site. The hemoglobin inside the blood vessels in the lesion area is completely coagulated under the powerful laser. The coagulated hemoglobin seals the abnormal blood vessels, and as a result, the diseased blood vessels in port wine stains disappear and the disease is cured. Because this kind of laser hardly damages the skin, it is not easy to leave scars after treatment, and can completely restore the skin's true color. Because the damaged blood vessels are three-dimensionally distributed under the skin, each laser treatment can only remove part of the blood vessels. Later, a few blood vessels will recanalize, so the treatment often needs to be divided into multiple times. The interval between each treatment takes more than two months. Although the pulsed fuel laser can treat bright red moles, the treatment effect is still not good. Only about 30% of patients can be cured, and 70% of patients are only effective.

After treatment, skin edema, exudation and scabs will occur in the treatment area to varying degrees. A few people may develop small blisters within a week. As long as they cooperate with the doctor's treatment, these reactions will subside within a week (individual patients may develop pigmentation, usually Disappears on its own within a few months without special treatment)

Harm of port wine stains

Port wine stains mainly affect the appearance of patients in the early stage, and may develop into a tumor type in the later stage. Among them, a very small number of patients are accompanied by epilepsy, thrombocytopenia, and enlarged bones. Port wine stains cannot be prevented, but there are some signs that can be used to check the master and other abnormalities. If port wine stains grow on two-thirds of the face, be careful of eye and nerve abnormalities; if they grow on the limbs, they will experience hypertrophy, pay attention to observe the bones, muscles, etc.; grow on the back and at the midline, Be careful if there are any abnormalities in the blood vessels in the spinal cord.

Genetic problems of port wine stains

Nowadays, many mothers-to-be or patients with port wine stains who are going to be mothers are very concerned about this issue, worrying that port wine stains may be inherited. The possibility of inheritance of port wine stains cannot be ruled out, but the probability is very small, and it is very rare in clinical practice. There is also no exact data that port wine stains are inherited. According to research, the cause of port wine stains is related to the hormones in the body, and has little to do with heredity. It also has a lot to do with our consciousness and ecological environment. Many foods on the market contain a lot of hormones, so you should eat more ecological foods to maintain hormone balance.

Treatment time

Port wine stains are a common congenital, low blood flow intradermal vascular malformation, which usually occurs at birth and rarely resolves spontaneously. Therefore, the family members of the children are very concerned about how to cure port wine stains and when is the best treatment time. Because if the treatment is taken at the best time, the treatment effect can be improved, saving time and money, and also reducing the child's pain. When adopting traditional treatment methods, there are differences in the choice of seasons. In order to prevent wound infections, port wine stains are generally treated in cool seasons such as spring and autumn. But now with the dual-wavelength workstation, the treatment of hemangioma no longer has a wound, there is no need to worry about infection, and there is no impact on the choice of season. Port wine stains will not disappear automatically due to time, which seriously affects the image of the patient. Therefore, the sooner the hemangioma is treated, the better, in case it affects the development of the patient, the earlier the treatment, the better the cure effect.

Common clinical features of port wine stains

Port wine stains are generally common,

First, port wine stains are initially light red, dark red or purplish red spots of different sizes, with dilated capillaries, a smooth surface, and fade when pressed. It will continue to expand with age, and 65% of patients will expand. 40 It may thicken or appear nodules before age, and it is easy to bleed after trauma. Port wine stains are relatively flat plaques composed of countless expanded capillaries. The area of the lesion increases as the body grows and will last forever.

Second, port wine stains can occur in any part, mostly on the face. It also affects the ophthalmic nerve and the maxillary nerve at the same time. 15% will cause glaucoma, and 1%-2% of patients have pial vascular malformations on the same side. It is called Sturge-Weber syndrome.

Third, port wine stains are a common skin lesion phenomenon. There are more patients now, and port wine stains continue to grow with the age of patients.

Fourth, port wine stains are also known as port wine or telangiectasias. They often appear at birth or shortly after birth. They are common on the neck, head, and head. Most are unilateral and rarely bilateral. , And sometimes involve the mucous membrane.

Treatment methods for port wine stains

Port wine stains have brought great inconvenience and pain to patients in study, life, and work, especially for infants and young children. Parents want to find the best treatment for their children, hoping to cure port wine stains to the greatest extent. The best treatment for port wine stains can be seen from two aspects, one is the most advanced treatment method currently available, and the other is the best treatment method for the patient. Every patient's situation is different, so the same treatment has different effects. At present, our hospital has the most advanced treatment of hemangioma in the country, "three-dimensional ablation treatment technology". It is a more effective treatment for all kinds of hemangioma. "Three-dimensional ablation technology" is a treatment method for hemangioma successfully developed by experts from Beijing Guoji Hospital of Traditional Chinese Medicine and Cynergy Hemangioma Workstation, a full set of equipment imported from the United States. "Three-dimensional ablation technology" uses the principle of selective photothermal action to coagulate and necrotize blood vessels, which are absorbed by the system and discharged from the body along with the lymphatic circulation. It instantly coagulates the hemoglobin to form methemoglobin, thereby controlling the development of hemangioma and achieving a healing effect. "Three-dimensional ablation treatment technology" treats hemangioma without pain, no trauma, no scar, no side effects, and no recurrence, which cannot be achieved by many hospitals that treat hemangioma.

Port wine stain syndrome

There are seven common syndromes associated with port wine stains:

1. It is a port wine stain characterized by craniofacial telangiectasia and brain calcification. Often the skin supplied by the first branch of the trigeminal nerve has capillary malformations. Ipsilateral meningeal capillary malformation with calcification and cortical atrophy.

2. Port wine stains with three major characteristics:

① Mole-like telangiectasia deformity;

② Varicose veins;

③ Hyperplasia of soft tissue and bone tissue.

3. A genetic disease of port wine stains, an autosomal dominant lesion, which consists of retinal vascular malformations and benign vasodilatation malformations. In addition, it may be accompanied by pheochromocytoma, adrenoid tumor, pancreas and kidney cysts.

4. Port wine stains that cause mental and behavioral deterioration, widening of the thumb and orbital distance, growth disorders, microcephaly, and abnormal vision.

5. Abdominal wall insufficiency, separation of umbilical hernia and rectum, large internal organs, giant sign, overage bone, small head, asymmetry, gonad loss, muscle hypertrophy, abnormal diaphragm.

6. A rare port wine stain, the patient has a single skin and meningeal vascular malformation.

7. A benign telangiectasia is common on the face, chest, joints and nail bed.

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