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Volume 356:2745-2746 June 28, 2007 Number 26
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Redarkening of Port-Wine Stains 10 Years after Laser Treatment

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by Huikeshoven, M.
To the Editor: Huikeshoven et al. (March 22 issue)1 report redarkening of port-wine stains after pulsed-dye–laser therapy. The device and fixed variables used in this study were not optimal, thus minimizing the therapeutic outcome and most likely increasing the recurrence of port-wine stains by permitting many vessels to remain unaffected by treatment.

Advances in pulsed-dye–laser technology through the use of larger spot sizes, higher energy densities, varying pulse widths, and dynamic cooling allow for more effective treatment of port-wine stains through greater vessel heating and deeper vascular injury.2 The improved technology targets the heterogeneity in blood-vessel sizes that is characteristic . . . [Full Text of this Article]



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