Pediatric dermatologists provide medical care for a variety of skin conditions. They generally provide the following services: Diagnosis and treatment of various skin conditions, including contact dermatitis, eczema, psoriasis, vitiligo, hives, warts, hemangiomas, birthmarks, and congenital skin disorders.
About 3 out of every 1,000 kids are born with a port-wine stain — a birthmark that literally looks like maroon wine was spilled or splashed on the skin. Though they often start out looking pink at birth, port-wine stains tend to become darker (usually reddish-purple or dark red) as kids grow.
Port-wine stains (also known as nevus flammeus) can be anywhere on the body but most commonly are found on the face, neck, scalp, arms, or legs. They can be any size, and usually grow in proportion with a child. They often change in texture over time, too — early on, they're smooth and flat but they may thicken and feel like pebbles under the skin during adulthood.
For most kids, port-wine stains are no big deal — they're just part of who they are. And some port-wine stains are barely noticeable, especially when they're located somewhere other than the face.
Pulsed dye laser therapy is considered to be the gold standard for the treatment of PWS as the wavelength of this laser specifically targets the hemoglobin within the vessels, causing selective vessel damage. Purple areas (i.e., purpura) are expected for 7-14 days following the procedure and can often be a good indicator of adequate laser energy for effectiveness.
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