Correct Answer-D
Pulsed dye Laser REF: Roxburgh's common Skin Diseases 17th
edition page 194 & 205, Clinical Dermatology by John Hunter, John
Savin & Mark Dahl 3' edition page 275
"Selective Photothermolysis or Pulsed dye laser is the treatment of
choice for Portwine hemangioma"
Port-wine stains are crimson blotches in which there is marked
capillary dilatation compared to a capillary angioma, which is a red
nodule or plaque containing proliferating endothelial cells. The latter
tend to flatten and disappear at puberty. Larger ones may cause
problems from bleeding and/or erosion. Cavernous haemangiomata
are larger and compressible, containing large vascular spaces
Occasionally a port-wine stain of the trigeminal area is associated
with a vascular malformation of the leptomeninges on the same side
which may cause epilepsy or hemiparesis (the SturgeWeber
syndrome), or with glaucoma.
Excellent results have been obtained with careful and time-
consuming treatment with a 585-nm flashlamp-pumped pulsed dye
laser. Treatment sessions can begin in babies and anaesthesia is
not always necessary. If a trial patch is satisfactory, 40-50 pulses
can be delivered in a session and the procedure can be repeated at
3-monthly intervals.
Pulsed dye Laser REF: Roxburgh's common Skin Diseases 17th
edition page 194 & 205, Clinical Dermatology by John Hunter, John
Savin & Mark Dahl 3' edition page 275
"Selective Photothermolysis or Pulsed dye laser is the treatment of
choice for Portwine hemangioma"
Port-wine stains are crimson blotches in which there is marked
capillary dilatation compared to a capillary angioma, which is a red
nodule or plaque containing proliferating endothelial cells. The latter
tend to flatten and disappear at puberty. Larger ones may cause
problems from bleeding and/or erosion. Cavernous haemangiomata
are larger and compressible, containing large vascular spaces
Occasionally a port-wine stain of the trigeminal area is associated
with a vascular malformation of the leptomeninges on the same side
which may cause epilepsy or hemiparesis (the SturgeWeber
syndrome), or with glaucoma.
Excellent results have been obtained with careful and time-
consuming treatment with a 585-nm flashlamp-pumped pulsed dye
laser. Treatment sessions can begin in babies and anaesthesia is
not always necessary. If a trial patch is satisfactory, 40-50 pulses
can be delivered in a session and the procedure can be repeated at
3-monthly intervals.
