Relationship Between Dermoscopic Vascular Pattern and Laser Efficacy in Children with Port Wine Stains
Download PDF
$currentUrl="http://$_SERVER[HTTP_HOST]$_SERVER[REQUEST_URI]"

Keywords

Port wine stain
Dermoscopy
Vascular pattern
Laser efficacy

DOI

10.26689/dh.v2i2.7395

Submitted : 2024-06-18
Accepted : 2024-07-03
Published : 2024-07-18

Abstract

Objective: To investigate the relationship between dermoscopic vascular pattern and laser efficacy in children with port wine stains. Methods: From January 2023 to December 2023, 43 children aged 3 to 18 years old with port wine stains in our hospital were selected. The Optimex dermoscopy (American Cynosure Company, Model: M393) was used to observe the vascular pattern and clinical efficacy. Results: There were 14 cases (31.11%)  of linear blood vessels, 10 cases (22.22%) of dotted blood vessels, eight cases (17.78%) of reticular blood vessels, seven cases (15.56%) of short rod-shaped blood vessels, three cases (6.67%) of mixed-type blood vessels, and three cases (6.67%) of uniform red background pattern. According to the results of dermoscopy, the effective rates of six types of blood vessels, linear blood vessels, dotted blood vessels, reticular blood vessels, short rod-shaped blood vessels, mixed-type blood vessels, and uniform red background pattern were 71.43%, 100%, 62.50%, 100%, 66.67%, and 33.33%, respectively. The difference was statistically significant (P < 0.05). Conclusion: The treatment efficacy of pulsed dye laser on port wine stains varies with different vascular patterns, and the effects on dotted, short rod-shaped, and linear blood vessels are better.

References

Si Y, Chen P, Wu Q, et al., 2023, Analysis of Laser Treatment of Facial Port Wine Stains in Children. Dermatology Bulletin, 40(06): 755–759.

Xu J, Wang X, Li H, et al., 2022, Dermoscopic Features of Port-Wine Stains. Chinese Journal of Dermatology and Venereology of Integrated Traditional Chinese and Western Medicine, 21(03): 222–225.

Lu L, 2022, The Application of Dermoscopy and High-Frequency Ultrasound in the Prediction and Evaluation of the Efficacy of Nevus Flammeus Laser Treatment, dissertation, Guilin Medical College.

Yang X, Wang H, Luo X, et al., 2022, Observation on the Efficacy of Photodynamic Therapy for Pulsed Dye Laser-Resistant Port Wine Stains. Skin Science Bulletin, 39(02): 142–147 + 6.

Liu Y, Chen D, Zeng J, et al., 2022, Research Progress of Lesion Structure and Optical Imaging Methods of Port Wine Stains in Vascular Targeted Photodynamic Therapy. China Laser, 49(15): 24–35.

Bian L, Li M, Dong X, 2021, Analysis of Therapeutic Factors of 595 nm Pulsed Dye Laser in the Treatment of Facial Port Wine Stains in Children. Chinese Journal of Laser Medicine, 30(01): 41.

Zhang C, Zhou J, Ran Y, et al., 2020, Efficacy Observation of 595 nm Pulsed Dye Laser in the Treatment of Facial Port Wine Stains in Children. Anhui Medicine, 41(02): 143–145.

Di Y, Zhang C, Wang S, 2019, Comparison of Therapeutic Effects of YAG Dye Laser Combined with 585 nm and 1064 nm in Patients with Port-Wine Stains of Different Ages. China Medical Cosmetology, 9(07): 58–61.

Yin R, Sun Y, Li L, et al., 2017, Clinical Analysis of 18 Cases of Pigmented Vascular Nevus Hamartomatosis in Children. Journal of Clinical Dermatology, 46(07): 483–487.

Gan L, Wang H, Ni S, et al., 2017, Clinical Study on the Efficacy Evaluation of High Frequency Skin Ultrasound in Children with Port Wine Stains. Laser, 38(06): 207–211.

Wu L, Chen X, 2017, Efficacy and Safety Analysis of Different Methods in the Treatment of Port Wine Stains. Journal of Clinical Dermatology, 46(05): 367–370.

Ye Z, Zhou J, Chen L, et al., 2016, Efficacy Analysis of Pulsed Dye Laser in the Treatment of 72 Cases of Facial and Neck Port Wine Stains in Children. Chinese Modern Doctor, 54(17): 87–89 + 93.