Laser Therapy of Cutis Marmorata Telangiectatica Congenita Vascular Malformation

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dc.contributor.authorMataczyńska, Anna
dc.contributor.authorPaprocki, Michał
dc.contributor.authorSzczękulski, Jan
dc.contributor.authorKwiek, Bartłomiej
dc.contributor.organizationUczelnia Łazarskiegoen
dc.contributor.organizationUniversity of Liverpool, UKen
dc.contributor.organizationThe Hut Group, Manchester, UKen
dc.date.accessioned2024-02-20T08:09:24Z
dc.date.available2024-02-20T08:09:24Z
dc.date.issued2023
dc.description.abstractThe purpose of this study is to determine a long-term effectiveness of a 532 nm and 1064 nm large spot laser with contact cooling in the treatment of CMTC. Cutis marmorata telangiectatica congenita (CMTC) is a rare, congenital, vascular disorder characterized by dilated capillaries and veins, in all layers of the dermis and subcutaneous tissue. It manifests itself as erythematous-to-violaceous, reticulated, net-like, or marbled-appearing patches on the skin. Two types of CMTC have been observed: isolated and classic. The aetiology of CMTC is not well understood. CMTC is most commonly found on the lower limbs, as in the case of the patient in this study. A 45-year-old woman visited Klinika Ambroziak due to vascular malformations on her right thigh, shank, and foot, which included numerous deep lying and serpiginous capillaries with a marbled pattern and visible telangiectasia. Discrete ivory white scarring was visible along dilated vessels and was evident in dermoscopic evaluation. A classic type of cutis marmorata telangiectatica congenita was diagnosed. It was treated with a large spot 532 nm and 1064 nm millisecond laser with contact cooling, as well as a picosecond 1064 nm laser with the diffraction lens. The latter was added to treat associated discrete scarring. Although an immediate response after vascular laser was achieved both clinically and dermoscopically, videodermoscopy performed after five months showed that large capillary loops persisted and clinical improvement was not satisfactory. After the initial treatment, the effectiveness of the laser therapy was noticeable. However, over time the results were disappointing. Effective treatment can be difficult due to regeneration of abnormal vessels and natural tendency to scarring.en
dc.identifier.citationMataczyńska, A., Paprocki, M.,ł Szczękulski, J., Kwiek, B. (2023).Laser Therapy of Cutis Marmorata Telangiectatica Congenita Vascular Malformation. Review of Medical Practice, XXIX, 1. DOI: 10.26399/rmp.v29.1.2023.3/a.mataczynska/m.paprocki/j.szczekulski/b.kwieken
dc.identifier.doi10.26399/rmp.v29.1.2023.3/a.mataczynska/m.paprocki/j.szczekulski/b.kwiek
dc.identifier.issn2956-4441
dc.identifier.issn2956-445X
dc.identifier.urihttps://open.icm.edu.pl/handle/123456789/23925
dc.language.isoen
dc.publisherUczelnia Łazarskiegoen
dc.rightsUznanie autorstwa-Użycie niekomercyjne-Na tych samych warunkach 3.0 Polska*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/3.0/pl/*
dc.subjectCMTen
dc.subjectcapillary malformationen
dc.subjectlaser therapyen
dc.subject532nm laseren
dc.titleLaser Therapy of Cutis Marmorata Telangiectatica Congenita Vascular Malformationen
dc.title.alternativeLaseroterapia malformacji naczyniowej cutis marmorata telangiectatica congenitapl
dc.typearticleen
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Artykuły naukowe Uczelni Łazarskiego