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Giornale Italiano di Dermatologia e Venereologia 1999 June;134(3):189-95

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: Italian

Diagnostic techniques in the study of hemangiomas of the skin and associated syndromes

Rossi A. 1, Iurassich S. 1, Vallone G. 2, Rossi E. 2

1 Seconda Università degli Studi - Napoli, Facoltà di Medicina e Chirurgia, Servizio Speciale di Terapia Fisica Dermatologica, Cattedra di Dermatologia; 2 Università degli Studi di Napoli Federico II - Napoli, Facoltà di Medicina e Chirurgia, Dipartimento di Scienze Biomorfologiche e Funzionale, Servizio di Diagnostica per Immagini


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Background. This study describes the diagnostic techniques that can define the dynamic and anatomic elements of hemangiomas.
Methods. Personal clinical experience has been carried out on 1242 patients, 418 males and 824 females, aged from 1 month to 24 years, with strawberry and/or cavernous hemangiomas (739 cases), nevus flammeus (450 cases) and associated syndromes (53 cases). Capillaroscopy, colorimetry, liquid crystal thermography contact plates (TCP), dynamic telethermography (TTD), color-Doppler (ECD), radiography, xeroradiography, computed tomography (TC), nuclear magnetic resonance (RMN) and single photon emission computed tomography (SPECT) were employed.
Results. Results suggest that useful diagnostic means are the TCP, TTD and ECD in strawberry and/or cavernous hemangiomas, the xeroradiography in throbbing hemangiomas that overhang a bony tissue, the capillaroscopy and colorimetry in the nevus flammeus and the comparative bony radiography, TC, RMN and SPECT in the associated syndromes.
Conclusions. TTD and TCP can separate the tuberose component from the cavernous component, while TTD, TCP and ECD can show the vascular peduncles and arteriovenous fistulas. In the associated syndromes, radiography describes the bony anomaly, TC and RNM show visceral and cranial hemangiomas, SPECT locate the suffering of the brain sprinkling.

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