Laser & Skin Surgery Center of New York, New York, New York, USA; Weill Cornell Medicine, Department of Dermatology, New York University Grossman School of Medicine, New York, New York, USA.
Laser & Skin Surgery Center of New York, New York, New York, USA.
Clin Dermatol. 2022 Jan-Feb;40(1):11-18. doi: 10.1016/j.clindermatol.2021.08.006. Epub 2021 Aug 8.
A port-wine stain (PWS) is a vascular birthmark present in 0.3% to 0.5% of newborns. If untreated, this erythematous patch will grow proportionally with the child to thicken and darken with age. PWSs have implications for the child's quality of life for many years, with cosmetic, medical, and psychosocial disability. Controversy exists in many aspects surrounding laser treatment of these birthmarks in the pediatric population. We have reviewed the clinical features as well as the historic and current laser treatment of PWS. We have also examined the current hot topics of debate surrounding the treatment of PWS in the pediatric population. These controversies include the patient age of treatment initiation, the long-term psychologic impact, the use of general anesthesia, the application of eye shields, and alternative treatments for recalcitrant PWS. We have concluded with a discussion on the future directions of management and treatment.
葡萄酒色斑（PWS）是一种血管性出生缺陷，在 0.3%至 0.5%的新生儿中存在。如果未经治疗，这种红斑会与孩子成比例生长，并随着年龄的增长而变厚和变暗。PWS 会对孩子多年的生活质量产生影响，造成美容、医疗和心理社会残疾。在儿科人群中激光治疗这些胎记的许多方面存在争议。我们回顾了 PWS 的临床特征以及历史和当前的激光治疗。我们还研究了当前围绕儿科人群 PWS 治疗的热门争议话题。这些争议包括治疗开始时的患者年龄、长期心理影响、全身麻醉的使用、眼罩的应用以及难治性 PWS 的替代治疗。我们最后讨论了管理和治疗的未来方向。
