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Congenital vascular lesions

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Congenital vascular lesions

PantherMedia

Emergency room doctors

Vascular lesions and malformations are congenital lesions of unknown origin, occurring on the skin of the face, the whole body as well as on internal organs. In addition to surgical therapy, which involves excision of the lesion in question, non-invasive laser therapy can be undertaken.

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Table of contents:

  1. Vascular lesions
  2. Malformations

Malformations and hemangiomas are congenital anomalies whose origin is unknown. Hemangiomas, or skin tumours having their aetiology in blood vessels. They occur on the skin of the face, but can also occur elsewhere on the human body, as well as on internal organs. They are often found in newborns and infants, but the vast majority disappear on their own without the need for medical intervention. Malformations are lesions that take the form of spots of varying colour intensity (from light pink to dark red) and do not tend to disappear spontaneously; it is more common for the lesion to take on a papular appearance. Malformations can also be a symptom of another disease syndrome.

Hemangiomas

Hemangiomas may be associated with a number of complications depending on their location. If they are located near the natural orifices of the body, they can cause great discomfort or even impair certain functions. This is because the surface of the haemangioma is prone to erosion or destruction, which is associated with infection and can cause a lot of pain in the area. Particularly dangerous are hemangiomas located in the eye area, as they can cause deterioration of vision and sometimes even sight impairment. Since hemangiomas can sometimes disappear on their own, a wait-and-see approach is the first step before intervening. From the doctors' experience, it can be deduced that the best treatment results are obtained using a pulsed dye laser, repeating the treatment sessions in sufficient quantity. On the other hand, if the growth of hemangiomas is very rapid, oral steroid therapy and topical steroid injections are used.

Hemangiomas, Malformations, Vascular lesions
Congenital vascular lesions, photo: panthermedia

Malformations

Malformations, as they are made of abnormal dysplastic vessels, are mainly treated with the pulsed dye laser, but KPT or IPL laser therapy also brings some improvement. The procedure in adults and larger children is performed under local anaesthesia, while anaesthesia is required for small children.

Laser treatment is a non-invasive method of combating both hemangiomas and malformations. However, it is not the only method; in addition to laser, an invasive treatment involving surgical excision of the lesion can also be undertaken. As laser has now become one of the basic tools of dermatologists, surgical therapy should be considered in favour of laser therapy.