关键词: buccal mucosa alterations capillary hemangioma gingiva port-wine stain trigeminal nerve

来  源:   DOI:10.7759/cureus.63532   PDF(Pubmed)

Abstract:
Port-wine stains (PWSs), also called port-wine birthmarks or nevus flammeus, are hamartomatous vascular capillary malformations that clinically appear as erythematous areas on the buccal mucosa, vermilion border of the lip, gingiva, or pink to port-wine-colored patches on skin since birth and persist throughout life. On the face, they occur in the area supplied by the trigeminal nerve. PWSs have structural abnormalities of the intradermal capillaries. PWSs on the skin and oral mucosa contain ectatic capillaries in the dermis and submucosa, respectively. PWSs occur anywhere, and the oral mucosa is no exception. PWSs on the facial skin lead to cosmetic disfigurement and create social stigma. Clinically, PWSs start as flat, pink, or red patches and may darken, thicken, and develop nodules over time. The diagnosis of PWSs is primarily clinical. PWSs are complex vascular malformations with significant clinical, psychosocial, and therapeutic challenges. This article enlightens a series of cases of PWSs on the facial skin and capillary hemangioma on the gingiva, buccal mucosa, and lip diagnosed by a diascopy test, etiopathogenesis, differential diagnosis, and management of PWSs.
摘要:
葡萄酒污渍(PWS),也被称为波特酒胎记或色素痣,是临床上表现为颊粘膜红斑区域的错构瘤性血管毛细血管畸形,朱红色的嘴唇的边界,牙龈,或从出生起皮肤上的粉红色至葡萄酒色斑点,并持续一生。在脸上,它们发生在三叉神经提供的区域。PWS具有皮内毛细血管的结构异常。皮肤和口腔粘膜上的PWS含有真皮和粘膜下层的扩张毛细血管,分别。PWS发生在任何地方,口腔粘膜也不例外。面部皮肤上的PWS会导致化妆品毁容并造成社会污名。临床上,PWS开始为平坦,粉色,或红色斑点,可能会变暗,加厚,随着时间的推移会发展出结节.PWS的诊断主要是临床诊断。PWS是复杂的血管畸形,具有显著的临床,社会心理,和治疗挑战。本文启发了面部皮肤上的PWS和牙龈上的毛细血管血管瘤的一系列病例,颊粘膜,通过X光检查诊断出嘴唇,病因,鉴别诊断,和PWS的管理。
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