Dermoscopic features of port-wine stains: A study of 264 cases.


Journal

The Australasian journal of dermatology
ISSN: 1440-0960
Titre abrégé: Australas J Dermatol
Pays: Australia
ID NLM: 0135232

Informations de publication

Date de publication:
May 2021
Historique:
revised: 19 08 2020
received: 02 07 2020
accepted: 22 08 2020
pubmed: 22 9 2020
medline: 15 12 2021
entrez: 21 9 2020
Statut: ppublish

Résumé

Port-wine stains (PWS) occur in 0.3-0.5% of the population. However, the dermoscopic features of PWS have not been systematically studied. Dermoscopic images of 264 cases with PWS were retrospectively analysed. Linear vessels were the most frequent dermoscopic features of PWS (42.0%). Other dermoscopic features were reticular vessels (28.0%), sausage-like vessels (13.6%), dots or globules vessels (9.1%) and mixed vessels (7.2%). Nonvascular morphology comprised white circles (13.6%) and whitish veil (38.3%). Sausage-like vessels and whitish veil were mainly present in the thickened type and in those with PWS aged ≥18 years; mixed vessels were mainly present in purple type of PWS. Dermoscopic features showed no significant difference between lesions located on different facial areas (V1, V2 and V3). Dots or globular vessels were more common in non-facial lesions (P < 0.0001). White circles were only found in the facial lesions, and the frequency of white circles and whitish veil was higher in the treated group than in the untreated group (P = 0.004 and P = 0.04, respectively). The frequency of white circles was significantly higher in the prior treated group than in the untreated group (P < 0.0001). There are various of dermoscopic features of PWS. The dermoscopic features of patients with PWS may correlate with age, subtype, location, prior treatment history and pulsed dye laser (PDL) resistance.

Sections du résumé

BACKGROUND BACKGROUND
Port-wine stains (PWS) occur in 0.3-0.5% of the population. However, the dermoscopic features of PWS have not been systematically studied.
METHODS METHODS
Dermoscopic images of 264 cases with PWS were retrospectively analysed.
RESULTS RESULTS
Linear vessels were the most frequent dermoscopic features of PWS (42.0%). Other dermoscopic features were reticular vessels (28.0%), sausage-like vessels (13.6%), dots or globules vessels (9.1%) and mixed vessels (7.2%). Nonvascular morphology comprised white circles (13.6%) and whitish veil (38.3%). Sausage-like vessels and whitish veil were mainly present in the thickened type and in those with PWS aged ≥18 years; mixed vessels were mainly present in purple type of PWS. Dermoscopic features showed no significant difference between lesions located on different facial areas (V1, V2 and V3). Dots or globular vessels were more common in non-facial lesions (P < 0.0001). White circles were only found in the facial lesions, and the frequency of white circles and whitish veil was higher in the treated group than in the untreated group (P = 0.004 and P = 0.04, respectively). The frequency of white circles was significantly higher in the prior treated group than in the untreated group (P < 0.0001).
CONCLUSION CONCLUSIONS
There are various of dermoscopic features of PWS. The dermoscopic features of patients with PWS may correlate with age, subtype, location, prior treatment history and pulsed dye laser (PDL) resistance.

Identifiants

pubmed: 32955124
doi: 10.1111/ajd.13470
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e201-e206

Subventions

Organisme : Scientific Research Project of Wuxi Commission of Health and Family Planning
ID : MS 201821

Informations de copyright

© 2020 The Australasian College of Dermatologists.

Références

Wang J, Zhu YY, Wang ZY et al. Analysis of quality of life and influencing factors in 197 Chinese patients with port-wine stains. Medicine (Baltimore) 2017; 96: e9446.
Renfro L, Geronemus RG. Anatomical differences of port-wine stains in response to treatment with the pulsed dye laser. Arch. Dermatol. 1993; 129: 182-8.
Jasim ZF, Handley JM. Treatment of pulsed dye laser-resistant port wine stain birthmarks. J. Am. Acad. Dermatol. 2007; 57: 677-82.
Han Y, Ying H, Zhang X et al. Retrospective study of photodynamic therapy for pulsed dye laser-resistant port-wine stains. J. Dermatol. 2020; 47: 348-55.
Wang X, Suo H, Gao Y et al. Correlation between the hemoporfin-mediated photodynamic treatment response and the dermoscopy vascular pattern in patients with a port-wine stain: a prospective study. J. Eur. Acad. Dermatol. Venereol. 2020. https://doi.org/10.1111/jdv.16596.
Chen JK, Ghasri P, Aguilar G et al. An overview of clinical and experimental treatment modalities for port wine stains. J. Am. Acad. Dermatol. 2012; 67: 289-304.
Rydh M, Malm M, Jernbeck J et al. Ectatic blood vessels in port-wine stains lack innervation: possible role in pathogenesis. J. Plast. Reconstr. Surg. 1991; 87: 419-22.
Lian CG, Sholl LM, Zakka LR et al. Novel genetic mutations in a sporadic port-wine stain. JAMA Dermatol. 2014; 150: 1336-40.
Ernemann U, Kramer U, Miller S et al. Current concepts in the classification, diagnosis and treatment of vascular anomalies. Eur. J. Radiol. 2010; 75: 2-11.
Ankad BS, Arora P, Sardana K et al. Differentiation of acquired port wine stain and angioma serpiginosum: a dermoscopic perspective. Int. J. Dermatol. 2019; 58: e62-e4.
Procaccini EM, Argenziano G, Staibano S et al. Epiluminescence microscopy for port-wine stains: Pretreatment evaluation. Dermatology 2001; 203: 329-32.
Vazquez-Lopez F, Manjon-Haces JA, Vazquez-Lopez AC et al. The hand-held dermatoscope improves the clinical evaluation of port-wine stains. J. Am. Acad. Dermatol. 2003; 48: 984-5.
Bencini PL, Cazzaniga S, Galimberti MG et al. Variables affecting clinical response to treatment of facial port-wine stains by flash lamp-pumped pulsed dye laser: the importance of looking beyond the skin. Lasers Med. Sci. 2014; 29: 1365-70.
Eubanks LE, McBurney EI. Videomicroscopy of port-wine stains: correlation of location and depth of lesion. J. Am. Acad. Dermatol. 2001; 44: 948-51.
Motley RJ, Lanigan SW, Katugampola GA. Videomicroscopy predicts outcome in treatment of port-wine stains. Arch. Dermatol. 1997; 133: 921-2.
Kwiek B, Rożalski M, Sieczych J et al. Predictive value of dermoscopy for the treatment of port-wine stains with large spot 532 nm laser. Lasers in surgery and medicine. Lasers Surg. Med. 2019; 51: 569-83.
Kim JH, Kim MR, Lee SH et al. Dermoscopy: a useful tool for the diagnosis of angiokeratoma. Ann. Dermatol. 2012; 24: 468-71.
Ronger-Savle S, Julien V, Duru G et al. Features of pigmented vulval lesions on dermoscopy. Br. J. Dermatol. 2011; 164: 54-61.
Nomura M, Tanaka M, Nunomura M et al. Dermoscopy of rippled pattern sebaceoma. Dermatol. Res. Pract. 2010; 140486: 3.
Sevila A, Nagore E, Botella-Estrada R et al. Videomicroscopy of venular malformations (port-wine stain type):prediction of response to pulsed dye laser. Pediatr. Dermatol. 2004, 21:589-96.

Auteurs

Yuanbo Huang (Y)

Department of Dermatology and Venereology, Nanjing Medical University Affiliated Wuxi People's Hospital, Wuxi, China.

Jun Yang (J)

Department of Dermatology and Venereology, Nanjing Medical University Affiliated Wuxi People's Hospital, Wuxi, China.

Zhongming Li (Z)

Department of Dermatology and Venereology, Nanjing Medical University Affiliated Wuxi People's Hospital, Wuxi, China.

Lichao Zhang (L)

Department of Dermatology and Venereology, Nanjing Medical University Affiliated Wuxi People's Hospital, Wuxi, China.

Li Sun (L)

Department of Dermatology and Venereology, Nanjing Medical University Affiliated Wuxi People's Hospital, Wuxi, China.

Mingye Bi (M)

Department of Dermatology and Venereology, Nanjing Medical University Affiliated Wuxi People's Hospital, Wuxi, China.

Lei Wang (L)

Department of Dermatology and Venereology, Nanjing Medical University Affiliated Wuxi People's Hospital, Wuxi, China.

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