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Correspondence
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Volume 339:635-636 August 27, 1998 Number 9
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Treatment of Port-Wine Stains

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 by van der Horst, C. M.A.M.
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To the Editor: Van der Horst et al. (April 9 issue)1 report no additional benefit from early treatment of port-wine stains with the pulsed-dye laser, which is in contradistinction to our experience2 and that of others. Several issues should be raised about the methods of the study, which may account for the unexpected results.

The authors enrolled consecutive patients in their treatment groups without controlling for the types or locations of the lesions. There were more "hypertrophic" lesions in the younger treatment groups (29 percent) than in the older treatment groups (18 percent). Hypertrophy of port-wine stains in childhood has . . . [Full Text of this Article]

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