组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2012, Vol. 8 ›› Issue (2): 84-87.doi: 10.3969/j.issn.1673-0364.2012.02.006

• 论著 • 上一篇    下一篇

新生儿红斑的自然病程及其与葡萄酒色斑的鉴别研究诊断

陈晓东，陈辉，马刚，叶肖肖，金云波，胡晓洁，林晓曦   

  1. 上海交通大学医学院附属第九人民医院整复外科
  • 发布日期:2020-07-23

The Natural Course of Salmon Patch and the Identification between Salmon Patch and Port Wine Stain

CHEN Xiaodong,CHEN Hui,MA Gang,YE Xiaoxiao,JIN YunBo,HU Xiaojie,LIN Xiaoxi   

  1. Department of Plastic and Reconstructive Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200011,China.
  • Published:2020-07-23

摘要： 目的探索新生儿红斑的自然病程,及其与葡萄酒色斑的鉴别要点。方法对2007年3月至2011年5月,来我科就诊的36例面颈部红斑患儿进行随访,观察红斑的发生特点及转归,分析并总结新生儿红斑与葡萄酒色斑的鉴别诊断依据。结果本组36例患儿中,诊断为新生儿红斑21例,多部位累及者15例(71.4%),其中累及前额及眉间者有16例(38.1%)、项部有13例(31.0%)、眼睑有9例(21.4%)、人中有3例(7.1%)。随访至2岁时,18例消退或减淡(85.7%);其余3例随访至5岁,红斑无减退倾向,遂诊断为葡萄酒色斑。本组中另15例患者诊断为葡萄酒色斑,其中颞区2例(13.3%),面颊区8例(53.3%),下颌区3例(20%),多区累及者2例(13.3%)。随访至2岁时,90%患儿无明显改变,其余2例有轻微加深。结论新生儿红斑与葡萄酒色斑在形态学上具有相似性,但两者发生部位及自然病程存在明显差异。当难以鉴别时,加强随访是减少误诊及防止错误治疗的重要手段。

关键词: 新生儿红斑, 葡萄酒色斑, 鉴别诊断

Abstract: Objective To explore the natural course of salmon patch and the identification between salmon patch and port wine stain.Methods Between March 2007 to May 2011,thirty-six patients with face and neck stains were analysed.The locations and changes of the stains were observed to conclude the differences between salmon patch and port wine stain.Results Twenty-one patients were diagnosed salmon patch and 15 patients were involved in multi-region(71.4%).Among them,forehead and glabella were involved in 16 cases(38.1%),while nape,eyelid and phitrum in 13,9 and 3 cases respectively(31.0%,21.4% and 7.1%).Eighteen stains were fade away at the age of 2(85.7%).The other 3 patients were followed up and the stains had no change,so the diagnosis was changed as port wine stain.Fifteen port wine stains were diagnosed,including 2 cases in the temproal region(13.3%),8 cases in the cheek region(53.3%),3 cases in the mandible region(20%).Two patients involved in several regions(13.3%).90% of the stains had no obvious change at the age of 2.The stains of the other 2 patients were slightly darken.Conclusion Salmon patch can be confused with port wine stains in shape.But they are different in locations and natural courses.Long standing follow up will aid in correct diagnosis and appropriate management of these birthmarks.

Key words: Salmon patch, Port wine stain, Identification

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