皮肤血管异常:一家三级医院的横断面研究

S. Somashekhar, E. Loganathan, Heera Ramesh
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引用次数: 0

摘要

血管畸形是一组疾病,分为肿瘤和畸形两大类。由于临床表现多种多样,且症状和体征相互重叠,因此诊断非常困难。 我们进行了一项横断面研究,以评估我们门诊部常见的皮肤血管畸形。 共有 28 名疑似皮肤血管异常的患者接受了筛查和活组织切片检查。诊断依据是临床病理学相关性。 在我们的研究中,化脓性肉芽肿是最常见的血管畸形,占 25% 的患者;这些患者大多有外伤和自发性出血史。其次是血管角化瘤(17.8%)、婴儿血管瘤、葡萄酒色斑和疣状血管瘤(10.7%)。其他常见的血管畸形包括胶质瘤和簇状血管瘤。 血管畸形包括多种疾病,其诊断往往具有挑战性。准确的诊断对于为患者制定治疗方案至关重要。我们的研究强调了我们在临床实践中遇到的血管肿瘤的各种临床表现,它将提高人们对各种临床表现的熟悉程度,从而使临床医生能够更好地识别和管理这些具有挑战性的实体。
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Cutaneous Vascular Anomalies: A Cross-Sectional Study in a Tertiary Care Hospital
Vascular anomalies are a group of disorders that are divided into two categories: tumors and malformations. Given the vast diversity of clinical presentations with overlapping signs and symptoms, diagnosis can be difficult. We conducted a cross-sectional study to evaluate the common cutaneous vascular anomalies encountered in our outpatient department. A total of 28 patients suspected to be having cutaneous vascular anomalies were screened and subjected to biopsy. The diagnosis was based on clinicopathological correlation. In our study, pyogenic granuloma was the most common vascular anomaly seen in 25% of patients; majority of these patients gave a history of trauma and spontaneous bleeding. It was followed by angiokeratoma (17.8%), infantile hemangioma, port-wine stain, and verrucous hemangioma which was seen in 10.7% of patients. Other common vascular anomalies included are glomus tumor and tufted angioma. Vascular anomalies comprise a spectrum of diseases, diagnosis of which is often challenging. Accurate diagnosis is critical to generate a management plan for the patient. Our study highlights the varied clinical spectrum of vascular tumors that we come across in clinical practice and it will increase familiarity of the various clinical presentations, thereby enabling clinicians to better identify and manage these challenging entities.
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