ABSTRACT
Introdução: o lago venoso é uma ectasia venosa que ocorre geralmente nos lábios e na mucosa oral de idosos. Embora a escleroterapia seja um dos tratamentos mais indicados para esta condição, esta técnica é pouco utilizada entre os dermatologistas. Além disso, a concentração do agente esclerosante, a dose e o modo de aplicação não estão padronizados. Objetivos: relatar o uso do oleato de etanolamina a 5% (OE5%) como agente esclerosante para o tratamento do lago venoso oral e sugerir um protocolo de escleroterapia. Métodos: foi utilizado em dez pacientes consecutivos um protocolo padronizado para tratamento de lago venoso oral, baseado na experiência de um Ambulatório Universitário de Dermatologia, especializado em Estomatologia. Aplicou-se o OE5%, em injeções intralesionais profundas e centrais, com volume predeterminado, proporcional às dimensões da lesão. Resultados: seis pacientes tiveram regressão total da lesão com uma sessão. Outros três pacientes alcançaram regressão satisfatória com duas sessões mensais e uma paciente necessitou de três sessões mensais. Todos os participantes relataram edema ou queimação por um a três dias. Conclusão: o tratamento do lago venoso oral com OE5% é uma técnica segura e eficaz que pode ser usada na prática clínica do dermatologista.
Introduction: The venous lake is a venous ectasia that usually occurs on the lips and oral mucosa of the elderly. Although sclerotherapy is one of the most suitable treatments for this condition, dermatologists don't use this technique very often. Also, the concentration of the sclerosing agent, dose, and method of application are not standardized. Objectives: This study aims to report the use of ethanolamine oleate 5% (EO5%) as a sclerosing agent to treat the oral venous lake and suggest a sclerotherapy protocol. Methods: We used a standardized protocol to treat an oral venous lake in ten consecutive patients, based on the experience of a University Dermatology Clinic, specialized in Stomatology. EO5% was applied in deep and central intralesional injections, with a predetermined volume proportional to the lesion's dimensions. Results: Six patients had total lesion regression with one session. Another three patients achieved satisfactory regression with two monthly sessions, and one patient required three monthly sessions. All participants reported edema or burning for one to three days. Conclusion: The oral venous lake treatment with EO5% is a safe and effective technique that can be used in the dermatologist's clinical practice
ABSTRACT
BACKGROUND: A venous lake lesion is a venous ectasia that occurs on the exposed skin of elderly people. Although a number of therapies such as surgical excision, laser therapy, infrared coagulation, cryotherapy and sclerotherapy have been used to treat venous lakes, there is no guideline for treating this lesion. OBJECTIVE: The purpose of this study was to determine whether 0.5% sodium tetradecyl sulfate (STS) is effective for the treatment of venous lake lesions. METHODS: Twelve patients with venous lake lesions were enrolled In this study. After proper antiseptic preparation, 0.5% STS was slowly injected into each subject's lesion, and this was followed by immediate compression for 10 minutes. RESULTS: After treatment, all of the patients' lesions cleared completely. The average number of treatments was 2.15+/-1.28. Two patients experienced mild side effects such as light pain and paresthesia, and these soon disappeared. There were no serious side effects reported during treatment. The mean follow up period was 29.58+/-13.48 months. CONCLUSION: We have demonstrated that sclerotherapy with 0.5% STS was quite effective for treating venous lake lesions, and this treatment caused no serious adverse effects.
Subject(s)
Aged , Humans , Cryotherapy , Dilatation, Pathologic , Follow-Up Studies , Lakes , Laser Therapy , Light , Paresthesia , Sclerotherapy , Skin , Sodium , Sodium Tetradecyl SulfateABSTRACT
BACKGROUND: Although venous lake is asymptomatic, treatment is usually performed for cosmetic purposes or to prevent bleeding after trauma. The treatment is diverse and includes surgical excision, compression and cryotherapy. Above all, sclerotherapy is a useful and effective procedure for the treatment of venous lake on the lip. OBJECTIVE: This study was undertaken to assess the effectiveness and complications of the sclerotherapy of venous lake on the lip. METHODS: Fifteen lesions from eleven patients with venous lake on the lip were treated with sclerotherapy using sodium tetradecyl sulfate, detergent sclerosant. According to the size of lesions, the volume of infused solution was varied and the effectiveness of treatment was evaluated after four weeks. RESULTS: After a single treatment, fourteen of the fifteen lesions(93.3%) were cleared completely. The remaining lesion was treated one additional time. There were no reported complications during treatment. CONCLUSION: Sclerotherapy is highly effective and safe for the treatment of venous lake on the lip and may be a promising treatment option.
Subject(s)
Humans , Cryotherapy , Detergents , Hemorrhage , Lakes , Lip , Sclerotherapy , Sodium Tetradecyl SulfateABSTRACT
Venous lakes are small, bluish-purple, slightly-raised, soft papules or nodules occurring on the exposed skin of elderly people. The lips and ears are the most common sites. Histopathologically, large, dilated and irregular thin-walled venules are located on the upper and mid-dermis. Venous lake is not a rare disease, however, there has been no report of this condition in Korean literature. We report two cases of venous lake together with a review of the pertinent papers.
Subject(s)
Aged , Humans , Ear , Lakes , Lip , Rare Diseases , Skin , VenulesABSTRACT
Venous lakes are small, dark blue, slightly raised, soft lesions occurring on the exposed skin of an elderly person. The face, ears, lips, neck, forearms and backs of hands are common sites. Histopathologic findings show either one greatly dilated space or several interconnected dilated spaces filled with erythrocytes and lined by a single layer of flattened endothelial cells in the upper dermis. We report two cases of venous lake treated with sodium tetradecyl sulfate (STS) which is one of sclerosing agents. The lesions was almost disappeared and no side effects were observed. The two cases showed no recurrence.