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Port-wine Stains

P. M. Gaylarde, BSc; H. J. Dodd, MRCP; I. Sarkany, FRCP
[+] Author Affiliations

Department of Dermatology The Royal Free Hospital Pond Street London NW3 2QG, England


Arch Dermatol. 1987;123(7):861-862. doi:10.1001/archderm.1987.01660310025002
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To the Editor.—  Smoller and Rosen1 have shown morphological evidence of abnormal vascular innervation in the skin of patients with port-wine stains, and they have postulated that the progressive vascular dilatation in this condition is the result of impaired neural control. We have recently investigated reflex control of cutaneous blood flow in two patients with port-wine stains of the limbs. Our findings show that vascular reflex function in the area of the port-wine stains is impaired, and this has led us to conclude that neurologic control mechanisms are defective in these lesions. These conclusions are similar to those that Smoller and Rosen have drawn from their structural studies.Skin oxygen tension (Po2) is a flow-related parameter that is determined by clearance principles. Measurement of transcutaneous Po2 at 37°C allows one to monitor changes in skin blood flow in response to physiologic maneuvers2,3 and pharmacologically active agents.

REFERENCES

Smoller BR, Rosen S:  Port-wine stains: A disease of altered neural modulation of blood vessels? Arch Dermatol 1986;;122:177-179.
Tan OT, Gaylarde PM, Sarkany I:  Skin oxygen tension and blood flow changes in response to respiratory manoeuvres . Clin Exp Dermatol 1982;;7:33-41.
Dodd NJ, Gaylarde PM, Sarkany I:  Skin oxygen tension in venous disorders of the lower leg . J R Soc Med 1985;;78:373-376.
Gaylarde PM, Dodd JH, Sarkany I:  Pharmacological aspects of the control of blood flow in the lower leg , in Hegus D, Jantet G, (eds): Phlebology 85 . London, John Libbey, 1985;, pp 267-269.
Henriksen O:  Local sympathetic reflex mechanism in regulation of blood flow in human subcutaneous adipose tissue . Acta Physiol Scand , 1977;, (suppl 450) , pp 1-48.

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Smoller BR, Rosen S:  Port-wine stains: A disease of altered neural modulation of blood vessels? Arch Dermatol 1986;;122:177-179.
Tan OT, Gaylarde PM, Sarkany I:  Skin oxygen tension and blood flow changes in response to respiratory manoeuvres . Clin Exp Dermatol 1982;;7:33-41.
Dodd NJ, Gaylarde PM, Sarkany I:  Skin oxygen tension in venous disorders of the lower leg . J R Soc Med 1985;;78:373-376.
Gaylarde PM, Dodd JH, Sarkany I:  Pharmacological aspects of the control of blood flow in the lower leg , in Hegus D, Jantet G, (eds): Phlebology 85 . London, John Libbey, 1985;, pp 267-269.
Henriksen O:  Local sympathetic reflex mechanism in regulation of blood flow in human subcutaneous adipose tissue . Acta Physiol Scand , 1977;, (suppl 450) , pp 1-48.

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