port wine stain
Introduction
Introduction Also known as wine-like sputum or telangiectasia, occurs in birth, occurs in the face, neck, mostly unilateral, occasionally bilateral, sometimes involving the mucosa. The damage starts from a small or a few reddish, dark red or purple red patches, which are irregular in shape, with clear boundaries and no higher than the leather surface. The telangiectasia can be seen, and the partial or complete fading of the pressure is smooth. As you age, the color darkens and turns purple. 40% of patients will gradually expand their lesions. They can thicken and develop nodules before the age of 40, and are prone to bleeding after trauma. Port wine stains are the flattened and rarely bulging plaques composed of numerous post-expanded posterior venules, which are congenital posterior venule malformations. The area of the lesion increases with the growth of the body and does not subside.
Cause
Cause
Now there are many expectant mothers or patients who are preparing to be mothers. They are very concerned about this problem. They are worried that the port wine stains may be inherited. The port wine stains cannot rule out the possibility of inheritance, but the chances are very small and the clinical is very rare. There is also no exact data for port wine stains that will be inherited. According to research, the cause of port wine stains is related to hormones in the body, and the inheritance is not large, and it 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.
Examine
an examination
Related inspection
Skin color skin disease physical examination skin elasticity skin smear microscopy
Often appear at birth or shortly after birth, occurs in the face, neck and scalp, mostly unilateral, occasionally bilateral, sometimes involving the mucosa. The damage starts from a small or a few reddish, dark red or purple red patches, which are irregular in shape, with clear boundaries and no higher than the leather surface. The telangiectasia can be seen, and the partial or complete fading of the pressure is smooth. As you age, the color darkens and turns purple. In 65% of patients, the lesions will gradually expand. Before the age of 40, they can thicken and appear nodules, and they are prone to bleeding after trauma.
Diagnosis
Differential diagnosis
Differential diagnosis of port wine stains:
1, strawberry-like port wine stains: KTP532 laser treatment, 32P application are very effective. KTP532 laser should be selected for better economic conditions. Q-switched skin laser (easy bleeding) is not available. If the economy is very difficult, 32P can be applied, but the frequency of application should not be too much, so as to avoid excessive exposure of children, or two A combination of methods. Sponge-colored port wine stains: it is not suitable for laser treatment, and can not be applied with 32P. The most effective method is to inject 32P.
2, erythematous rash: is a very common symptom of skin diseases, many skin diseases have this symptom.
3. Transient lupus erythematosus: The main clinical feature of systemic lupus erythematosus is edematous erythema on both sides of the cheek. The erythema on the bridge of the nose is often connected with the cheek erythema on both sides to form a butterfly-like rash.
4, ankle erythema: lupus nephritis systemic manifestations: intermittent fever, erythema erythema, due to the shape of a butterfly, also known as butterfly erythema. Painless oral ulcers, multiple joint swelling and pain, epilepsy or mental abnormalities, cold hands and feet become pale, turn to purple after warmth, and then return to normal color, also known as Raynaud's phenomenon.
