Quality of Life and Psychological Effects of Port-Wine Stain: A Review of Literature

Rungsima Wanitphakdeedecha,1,2 Janice Natasha C Ng,1 Chadakan Yan,1 Woraphong Manuskiatti,1 Tatchalerm Sudhipongpracha,2 Tatre Jantarakolica3 1Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand; 2College of Interdisciplinary Studies, Thammasat University, Bangkok, Thailand; 3Faculty of Economics, Thammasat University, Bangkok, ThailandCorrespondence: Rungsima WanitphakdeedechaDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Pran-nok Road, Bangkok, 10700, ThailandTel + 66-2419-4333Fax + 66-2411-9922Email [email protected]: Port-wine stain (PWS) is a congenital malformation that does not resolve spontaneously and can cause a physiological or psychological burden to the patients. At present, most of the studies done on PWS are focused on the treatment rather than the quality of life and psychological effects of the disease.Material and Methods: A comprehensive literature search was done in MEDLINE using PubMed database, Embase®, and Cochrane. All observational studies were included in this review.Results: A total of 17 relevant articles with 2,135 PWS patients were included in this review. There were 36 measurement tools used to assess the quality of life and the psychological effects among PWS patients. The results showed that patients with facial PWS had a significant negative effect on their quality of life and had also suffered from psychological disabilities. The PWS lesion tends to worsen with age and may cause further adaptation problems towards the social environment, especially in children.Conclusion: Early treatment, psychological assistance, and patient support are the key management in improving the quality of life of patients with PWS. Quality of life must be regularly assessed together with the improvement of treatment.Keywords: port-wine stain, quality of life, psychological effect

An alternative for the treatment of vulvar syringoma: 577 nm pro‐yellow laser

Background: Syringoma is a benign sweat gland tumor. Aim: Vulvar location of syringoma is rare. Although the lesions are asymptomatic, it requires treatment due to the cosmetic concerns. Patients/Methods: We present a 42-year-old woman with vulvar syringoma. Results: The patient treated with 577 nm pro-yellow laser with a great success. Conclusion: A 577 nm pro-yellow laser is a good alternative in the treatment of vulvar syringoma

Confiabilidade intra e interexaminadores da fotogrametria na classificação do grau de lipodistrofia ginóide em mulheres assintomáticas Intra and inter-examiner reliability of photogrammetry in the classification of the degree of gynoid lypodystrophy in asymptomatic women

A lipodistrofia ginóide (celulite) é uma afecção dermatológica comum entre as mulheres. Uma de suas formas de avaliação é a inspeção visual por meio da fotogrametria. Entretanto, não foram encontrados estudos que verifiquem a repetibilidade e reprodutibilidade dessa avaliação. O objetivo deste estudo foi verificar a confiabilidade intra e interexaminadores da avaliação da celulite por meio da fotogrametria. Foram fotografadas e avaliadas as regiões glúteas de 50 mulheres (26,14±4,45 anos). A reprodutibilidade foi testada pela avaliação da mesma fotografia por dois examinadores em duas ocasiões diferentes, com intervalo de um ano; a repetibilidade por um mesmo examinador, com intervalo de uma semana. Os dados foram analisados estatisticamente e utilizado o índice Kappa ponderado. Os resultados indicaram substancial correlação (&#954;=0,70) entre os avaliadores para o grau de celulite no glúteo superior e moderada correlação (&#954;=0,50) para o grau de celulite no glúteo inferior. Nas análises de repetibilidade, os dados demonstraram excelente correlação (&#954;=0,81) para o grau de celulite no glúteo superior e substancial correlação (&#954;=0,75) para os graus no glúteo inferior. O método proposto para qualificação dos diferentes graus de celulite pela fotogrametria apresentou confiabilidade aceitável intra e interexaminadores para a maioria das regiões avaliadas, com exceção da região do glúteo inferior.<br>Gynoid lypodystrophy (cellulitis) is a common condition among women. One of its forms of evaluation is the visual inspection by photogrammetry. However, no studies could be found in literature on the repeatability and reproducibility of such evaluation. The purpose of this study was to assess reliability intra and inter-examiner of cellulitis evaluation by photogrammetry. The gluteal regions of 50 women (mean age 26.14±4.45 years) were photographed and evaluated. Reproducibility was tested by evaluation of the same photograph by two examiners on two one-year interval occasions; repeatability was assessed by a single examiner on two occasions one week apart. The Kappa index was applied. Results showed substantial correlation (&#954;=0.70) between examiners for cellulite degrees in upper buttock, and moderate correlation (&#954;=0.50) for cellulite degrees in lower buttock. As to repeatability, analyses showed excellent correlation (&#954;=0.81) for cellulitis degree in upper buttock and substantial correlation (&#954;=0.75) in lower buttock. The method proposed for classification of different gynoid lypodystrophy degrees by photogrammetry hence showed acceptable reliability intra and inter-examiner for the majority of evaluated regions, with the exception of the lower buttock