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PubMedDate not supplied

Diverticular fecalith in scleroderma simulating colonic neoplasm: report of a case.

This is a report of a patient with the CRST syndrome, a mild variant of scleroderma consisting of calcinosismraynaud's phenomenon, sclerodactyly, and telangiectasia. Typical changes of scleroderma were present in the extremities, esophagus, duodenum and colon. In addition, there was a polypoid filling defect in a colonic diverticulum due to a fecalith. The radiologic appearance at first resembled a colonic neoplasm, although its location within a diverticulum and its speckled appearance suggested the possibility of a fecalith. This was confirmed at colonoscopy, which disclosed numerous wide-mouthed diverticula, with inspissated fecal material projecting from several diverticula. In patients with scleroderma and polypoid filling defects in the colon, the possibility of a fecalith within a diverticulum should be considered. Where the radiologic study is inconclusive, colonoscopy may provide a definitive diagnosis.

Adult↗
PubMed1990

Cavernous hemangioma of the stomach: a case report and review of the literature.

A cavernous hemangioma of the stomach in a 41-year-old Japanese man was reported. The patient had numerous hemorrhagic telangiectasias in the skin and was also diagnosed as having a submucosal tumor of the stomach by an incidental upper gastrointestinal X-ray study. Wedge resection of the stomach was performed. The tumor was located in the submucosal, proper muscular and subserosal layers. The resected specimen showed proliferation of vascular spaces lined with a layer of endothelial cells and filled with red blood cells together with a partially calcified thrombus. The histopathologic diagnosis was cavernous hemangioma of the stomach with calcified thrombus. The patient has been doing well for twenty years. We report the case and briefly review the literature.

Adult↗
PubMed1997

Endoscopic follow-up study of development of gastric antral vascular ectasia associated with liver cirrhosis.

Gastric antral vascular ectasia is an important cause of chronic gastrointestinal blood loss. However, its development and progression have not yet been clarified. We investigated its early lesions and progression by reviewing endoscopic films of five patients with gastric antral vascular ectasia followed for liver cirrhosis. In all patients, early findings were prepyloric red spots. In two patients, anemia due to gastrointestinal bleeding was already observed when vascular lesions were confined to the distal antrum. In the other three patients, anemia was observed 1-2 years after they showed a diagnostic pattern of gastric antral vascular ectasia. The vascular lesions gradually thickened and extended throughout the antrum, with the complete picture shown in 1.5-5 years. The pattern of distribution was classified into three types: diffuse spotty, diffuse confluent, and striped. These types could be predicted before the complete formation. Gastric antral vascular ectasia associated with liver cirrhosis started as prepyloric red spots and extended to the proximal antrum in various ways and varying time courses of less than 5 years; this entity may cause hemorrhage even in the early stage.

Aged↗
PubMed2003

[Lasers and aesthetic dermatology].

The improved understanding of laser-tissue interaction along with the latest advances of laser technology have led to the development of sophisticated, safe, and user-friendly laser systems that provide effective treatment for a variety of aesthetic skin conditions. The use of lasers and their tissue-specific capabilities in the treatment of pigmented and vascular lesions has been greatly expanded to include rhytides, photoaged skin, atrophic scars, and unwanted hair. In addition, laser techniques have been employed in traditional "rejuvenating" procedures of aged skin, e.g., face-lifting, blepharoplasty, and hair transplantation, decreasing the intra-operative time and limiting the recovery period. These advances have led to a wide acceptance of cutaneous laser surgery by the dermatologic community and have created an increasing popularity among the public. The purpose of this article is to review the applications of lasers in aesthetic dermatology and discuss their limitations and potential side effects.

Blepharoplasty↗
PubMed2006

[Laser therapy for vascular lesions].

The use of lasers to treat vascular lesions began in the late 1960s with the introduction of argon laser. More recently pulsed laser and intense pulsed light techniques have further improved results and reduced side effects. Their function is based on the principle of selective photothermolysis. Simultaneous application of cooling methods (contact cooling, cold air, cryogen spray) has become standard procedure for these types of therapy, whose most important indications are port-wine stain, hemangioma, and telangiectasia. A persistent difficulty is their limited penetration, resulting in limited or no effect on deeper dermal layers. New approaches therefore include combinations with bipolar radio frequency or the use of two different laser systems, e.g., dye and Nd:YAG lasers. The different lasers are described along with their effectivity, limitations and indications.

Combined Modality Therapy↗
PubMed1995

[Arterial occlusion in cutis marmorata teleangiectatica congenita].

Cutis marmorata teleangiectatica congenita (CMTC) is a rare congenital vascular disorder of the venous system. In 50% of cases there are associated anomalies of other organ systems. Clinical improvement of the cutaneous manifestations is noted in most cases and usually occurs during the first year of life. We present a patient with CMTC with a band-like pattern following the L3 dermatome. At the age of 13 years, the skin manifestations worsened, with ulcerations and intermittent claudication. Angiographic imaging revealed stenosis of the deep femoral artery, and the circumflex femoral artery and the first perforating arteries were not visualized. To our knowledge, this is the first reported case of CMTC with anomalies of the large arteries.

Adolescent↗
PubMed1995

[Angioma serpiginosum, a skin change along Blaschko lines?].

We present a 34-year-old woman with angioma serpiginosum on the medial aspect of the left thigh, extending to the groin and the lower abdomen, and on the volar aspect of the left forearm. In addition to the late onset, the distribution along the lines of Blaschko was a remarkable feature of this case. We therefore reexamined our recent cases of angioma serpiginosum. In 6 of 7 cases, the distribution indeed corresponded to the lines of Blaschko. Thus, we suggest adding angioma serpiginosum to the list of skin lesions that may follow the lines of Blaschko.

Adolescent↗
PubMed1996

[Selective photothermolysis of superficial varicose veins telangiectasias of the lower extremity].

Leg venectasia is a common problem. Although there are a variety of therapeutic modalities, none of them gives satisfactory results. The effects of sclerotherapy in the treatment of telangiectasia with a small diameter are poor. Electrocoagulation and argon laser treatment often result in scarring. We studied the effectiveness of the flashlamp pumped pulsed dye laser at a wavelength of 585 nm in the treatment of leg venectasia. After repeated treatments using this laser system, only 30% of the vessels that looked blue on clinical examination could be removed; we obtained better lightening of smaller red, telangiectatic vessels with a diameter up to 0.4 mm. However, hyperpigmentation frequently developed after treatment. In post-treatment biopsies, occlusion of the vessels was found. Based on these results, we recommend a combined therapy for leg venectasia. Larger diameter vessels should be treated with sclerotherapy, while finer telangiectasia can be treated with the flashlamp pumped pulsed dye laser.

Adult↗
PubMed1996

[Incident light microscopic characterization of vascular patterns in skin tumors].

The search for vascular structures in skin tumors by incident light microscopy has revealed a surprisingly high proportion of vascularized tumours. Characteristic vascular patterns, in some cases highly tumour-specific, have been defined. The vascular structure is a valuable feature for characterization and differentiation of skin tumours, especially for amelanotic malignant melanoma. We propose a flowchart procedure for analysis and diagnosis of skin tumours using incident light microscopy, which appears to be valuable for advanced image analytic techniques.

Capillaries↗
PubMed1997

[Cutis marmorata teleangiectatica congenita. Important aspects for dermatologic practice].

Cutis marmorata telangiectatica congenita (van Lohuizen) is a rare skin disease in newborn or very young children. From the dermatological point of view, therapy is either not necessary or uncomplicated. However, the dermatologist and/or the pediatrician need to search for possibly associated anomalies. Clinical characteristics of 15 patients examined in the Fachklinik Hornheide within the last 11 years are presented. By giving a survey of the anomalies associated with cutis marmorata telangiectatica congenita, we demonstrate the need of neuropediatric, ophthalmologic and orthopedic examinations in addition the pediatric and dermatologic examinations.

Diagnosis, Differential↗
PubMed1997

[The pulsed dye laser--possibilities and limits].

The pulsed dye laser (wavelength 585 nm, pulse duration 0.3-0.45 ms) is very effective in the treatment of port-wine stains, beginning hemangiomas, telangiectasias, spider nevi, xanthelasma and red hypertrophic scarring. It is the laser of choice in the therapy of young patients with port-wine stains. The pulsed dye laser is limited by its relatively superficial penetration into the skin with a maximum of 1.5 mm.

Female↗
PubMed1997

[Treatment possibilities with a high-energy pulsed light source (PhotoDerm VL)].

By varying the light spectrum, impulse length, impulse sequences and fluences, the PhotoDerm VL allows a large choice of individual treatment parameters. Superficial as well as deeper localized vascular malformations (essential telangiectases, port-wine stains, Poikiloderma of Civatte, hemangiomatous malformations) and cosmetically bothering hypertrichosis can be treated successfully with this high intensity polychromatic pulsed light source.

Hemangioma↗