Vascular Lesions

Question: Doctors/Dermatologists/Nurses: VASCULAR LESIONS? since i was about 2 i have had this vascular lesion (what i thought was a popped blood vessel) on my face. Since then i have been getting these small red dots all over my hands, wrists, arms and still only that one big one on my face. I have also got a sort of 'purplish' big one on my leg. When i rub them, they dissapear but come back after about five seconds. I read on the internet that they should go in your first few years of life, but i am now 14 years old. Are they what i think they are, why haven't they gone away, and how could i get them treated? thankyou

Answer: These appear to be vascular lesions, from your description. There are several disorders in which numerous lesions like yours can develop, but without a picture, it's hard to say exactly which one you have. A few possibilites are: Fabry's disease (angiokeratoma corporis diffusum), blueberry muffin syndrome, hemangiomas, infantile hemangioendotheliomas. Please have your dermatologist look at them, and possibly biopsy one of them. If they are merely skin lesions, and not representattive of lesions elsewhere in the body, they can be treated with the PDL laser.

Question: vascular lesions on testicle? Dear all, I have pain on my left side testicle from 5 months. I counsulted many doctors. but they told me that is an infection. And they conducted many tests. but every thing is negative like sugar. finally they are giving tablets cyphron, chemerol forte like this. but my problem has not recovered. I have taken scanning also. in that they mentioned vacular lesions on testical. can any one suggest me what to do? regards, sam

Answer: Vascular lesions (blemishes) come in all shapes and sizes and have a variety of causes. Port-wine stains, for example, are congenital overgrowths of small blood vessels in the skin. Facial and other spider veins (telangiectasias) are a normal part of aging or can be caused by hormonal changes, skin disease, or even sun damage. In the past, the only remedy for vascular lesions was to cover them with make-up. More recently, treatments have emerged, like electrodessication, sclerotherapy, dermabrasion, and similar techniques, but results are unpredictable, and many leave a scar or a visible white, unpigmented area. Now there is the new VersaPulse Aesthetic Laser, a state-of-the-art system specially designed to treat the full range of vascular lesions. Understanding laser treatment A laser produces a beam of highly concentrated light. Different types of lasers produce different colours of light. The colour of light produced by a particular laser is the key to the laser's effect on vascular lesions. Different colours of light are absorbed by specific colours or pigments in the skin; for example, hemoglobin, found in blood, absorbs yellow-green light. The laser's light energy seals the vein shut, and the now diminished vessel is reabsorbed by the body. The VersaPulse advantage The VersaPulse Aesthetic Laser produces short, adjustable pulses of light to treat a wide variety of vessel diameters at various skin depths. The adjustable pulses minimize the risk of purplish bruising (purpura). The special VersaSpot Chilled Tip cools the skin during treatment, enhancing patient comfort. The entire treatment involves no incisions. What you can expect Laser treatments for vascular lesions depend on the quantity, size, and depth of the vessels. Patients with cherry angiomas, and facial or leg spider veins usually need between one and three 30-minute sessions. Patients with port-wine stains may need 3 or more sessions. Treatments are usually spaced 8-12 weeks apart and are performed in the doctors office without the cost and risks of hospitalisation or general anesthesia. The laser treatment itself feels like tiny pin pricks or numerous small snaps with a rubberband. Most patients do not require anesthesia during the procedure. Topical or local anesthesia is provided for those who do. The appearance of the treated area immediately after a laser session will vary from patient to patient depending on the extent of treatment. Immediate after-effects, if any, are minor. They may include redness, light crusting, or tenderness, all of which disappear in a short time. Your physician will be happy to tell you more about your treatment and what you can expect. We're here to help Ask us about the VersaPulse laser and how your physician can use it to treat your vascular blemish. There is one more way to deal with this problem. However, this thing in not on the market yet and may never be. Here what you need to do if you use this thing.. You build it. Its simple but expensive. You need about three hundred supper bright red LED's which are about $2.00 to $2.50 each. They must be order from the factor or dealer in St. Louis, Mo. Then you need to buy a printed circuit board at Radio Shack and mount these LED's on the board. Be cauches because they are poliarty sensitve( mounted all the same way). These will use 4.5 volts and about 3amps. These are the new STAR WARS MEDICINE. They will work to about 6 inches deep and cause healing at about 5 times the normal rate. The clame is it will kill cancer deep in the body or in the brain without cutting the skin. This could help you.

Question: fever, rash, skin coming off in sheets, small vascular lesions, moist red areas, pain in new borns? what kind of micro organisms cause these symptoms

Answer: i don't know

Question: what does irregular hyper reflective vascular mass mean on my ultrasound? I have a painful breast lump which i had an ultrsound for and the report also read heterogeneous vascular mass 19mk19mx16m with birads cat 4.lesions are suspicious of multifocal malignancy

Answer: It means they are pretty sure it is cancer and you need a biopsy so they are sure and to know what kind it is.

Question: What it means suspicious lucent channel? extra-cranial mixed density mass with pressure erosion in the underlying bone.With a suspicious lucent channel in the underlying bone,possibility'sy of a vascular lesion is not ruled out.

Answer: Maxine - I have no idea how your question ended up here, in the land phones category... To me, the "suspicious lucent channel" indicates that the x-ray or MRI or whatever the image is that was evaluated contains a lighter, less dense area that is unexpected. Lucent means light, luminous or clear, and calling that a suspicious thing tells me that the doctors are not expecting to find that light area. So, there is some process that is causing that lighter area. It would seem to me that the mass described as being outside of the cranium is pressing on the bone and causing it to dissolve, perhaps. However - this is only a guess, and you should never take medical advice from strangers. Please talk with the doctor who provided that description to find out exactly what it means.

Question: A vascular loop is noted in relation with bilateral 7th and 8the nerve complex ? Explain ? I am suffering from tinnitus for the past 1 year and recently i had an MRI scan done, to see if there is anything wrong with my brain. So here is the result : MR imaging of the brain was performed and high-resolution T1 and T2 weighted serial sections obtained in the sagittal and axial planes. Contiguous Fast FLAIR images were also obtained in the coronal plane on a 1.5 Tesla scanner using 8-channel phased-array surface coil. Additional high resolution 3D-FIESTA images were obtained through the skull base. The study does not reveal evidence of any focal lesion in the brain. the brain parenchyma is unremarkable. Bilateral basal ganglia, thalami and internal capsules are normal. No restriction is seen on diffusion-weighted images. The cerebellum, pituitary and brainstem are unremarkable. The lateral, third and fourth ventricles are normal in size, shape and position. The basal cisterns, fissures and sulci are normal. Intracranial nerves, including the 7th and 8th, bilaterally are unremarkable. No CP angle mass is seen. A Vascular loop is noted in relation with the bilateral 7th and 8th nerve complex ? clinical significance. OPINION: No definite lesion seen. No evidence of CP angle mass is seen. Please correlate clinically. I will see the doctor on monday......but i just wanna know what this is all about.

Answer: A vascular loop is just where 2 arteries come together. Nothing serious. Usually normal.

Question: best cure for permanent reddened skin caused by burn in a 3 cm area in the chest (person with white skin)? a vascular lesion has been formed, so i think laser, can't do it, cause is not a brown spot problem but a reddened skin problem..thank u

Answer: hi,there is this gel wich is called mellenium ,by the Vision group ,it may work ,I ve seen a patient wich was cure by using this gel ,you should give it a try ,

Question: Case study I really need help with.? A 50-yom with a history of multiple myocardial infarcts is hospitalized for shortness of breath. Physical examination reveals marked jugular distension, hepatomegaly ascites, and pitting edema. A chest X-ray reveals cardiomegaly. The patient subsequently dies of cardiorespiratory failure. Examination of lungs at autopsy would most likely disclose which of the following pathologic changes? Is is: 1.Diffuse alveolar purulent damage with hylline membranes 2.Lymphocytic interstitial pneumonitis 3.Pulmonary arteriopathy with plexiform lesions 4.Vascular congestion and hemosiderin-laden macrophages

Answer: since you have no other answers, I will guess....sounds like right-sided heart failure, so I am guessing it's #4...1 and 2 sound inflammatory or infectious, 3 sounds more like pulmonary hypertention...4 describes the heart failure, pulmonary edema, etc. seen post multi MIs

Question: Can Summarize the discussion for me please? We have demonstrated for the first time that inhalation of common air pollutants affects the systemic vasculature of humans. Short-term exposure to PM2.5 and O3 at levels that occur in urban environments causes acute conduit artery vasoconstriction without producing immediate alterations in endothelial-dependent or -independent vasomotion. This finding is important because it suggests that alterations in arterial tone may be a relevant mechanism contributing to air pollution–mediated acute cardiac events and because it provides evidence that the observations shown by large epidemiological studies are biologically plausible.1 Relevance of Conduit Artery Vasoconstriction It is reasonable to suspect that the coronary vasculature may respond similarly to air pollution exposure because brachial and coronary reactivity strongly correlate (r=0.79, P<0.001 for brachial versus coronary FMD).10 Even so, a reduction in coronary diameter of this relatively small magnitude (0.1 mm) would have minimal impact on healthy adults. However, congruent with epidemiological findings that individuals at increased risk for acute air pollution–related cardiac events generally have pre-existing cardiovascular disease, 2 this degree of sudden coronary vasoconstriction could promote cardiac ischemia in those with underlying flow-limiting obstructive lesions or could trigger instability of susceptible plaques.11 Furthermore, the vasculature of patients with coronary risk factors is known to hyper-react to a variety of vasoconstrictors,12,13 which potentially increases their susceptibility for acute cardiac events after air pollution exposure. Additional investigations in the coronary circulation and in high-risk individuals are needed to confirm these hypotheses. Mechanisms and Mediators of Vasoconstriction Because this is the first study to investigate the effects of air pollution on the vasculature, a more complete understanding of the pathophysiological mechanisms underlying our observations and the specific pollutants involved requires further investigation. Substantial evidence links increased PM2.5 alone with cardiac mortality.1 However, our initial air pollution exposure was chosen to be PM2.5 plus O3 because this mixture occurs in "real-life" settings. At present, an effect on the vasculature partially mediated by O3 cannot be ruled out. Determinations of the relative importance of PM2.5 versus O3 and specific components in fine particulate matter await follow-up studies now that a meaningful effect of urban air pollution on vascular function has been demonstrated. Potential biological mechanisms for the vasoconstriction include a reflex increase in sympathetic nervous system activity via stimulation of pulmonary vagal afferents14 or an acute increase in vascular ET release, analogous to cigarette smoking.15 PM2.5 inhalation has been shown to induce systemic inflammation and cytokine production,16 possibly related to free radical activity of components in particulate matter.17 In turn, these have the capacity to enhance vascular ET expression by direct mechanisms or via activation of oxidative stress pathways.6 Indeed, we have previously demonstrated the presence of increased plasma ET levels acutely after PM2.5 exposure.5 In conclusion, alterations in arterial tone and reactivity in response to PM2.5 and O3 exposure is a new arena for future research into the biological mechanisms linking air pollution with acute and potentially chronic cardiovascular events. Further investigations are needed to confirm and extend our findings to the coronary circulation and to subjects with existing heart disease.

Answer: This is way too long for me to summarize for you - I just don't have the inclination to boil it down for you. So, treat this as a useful practice for you. Break it down into short pieces - take each sentence and re-write it so you understand it. Any words you don't know, look up. When you know what the paragraph says, write a one-sentence summary that says the main point clearly. Do this with everything for practice - newspaper reports, book excerpts, magazine articles, etc. Soon you'll be able to do it while you're reading.

Question: Ultrasound techs: Which do you find easier to scan...hearts (echo) or abdominal organs? I did some volunteer work at a facility that does regular scans, vascular scans, and echos. I seems to me that doing echos is by far the most straight-forward (and easiest) and leaves less chance for error or missing something important (like lesions, stones, etc). Is this really the case? I have the opportunity to study only one track and I believe cardio is the way I want to go, but just want a little extra insight from someone who's been there. Thanks!

Answer: i'm not entirely lucid as to the thurible of your questiuon, hence the answer may not sate yuer appettite. hence feel free to seek clarification or further elucidation. echo/ ultrasound relies on the same princiles of acoustics as ordinary sound waves. i would not go into the details as ye'wd have already been well versed in them from yuer work experience. in terms of echogenicity, the best organs to be examined remain the ones with best echogenicity/echogenic windows.. we are talkin in terms of organs with ample depth, echogenic substrate(air,water,blood,any other fluid), n less intervening medium. hence the bladder,uterus, kidneys, blood vessels, heart, abdomen, liver(with any cyst), gall bladder, etc fall under this purview. however ay alterations in echogenicity would alter this dynamic.. e.g. a pericarditis can make the medium impenetrable for the heart to be visible, ample fat makes it difficult to observe abdominal viscerae,lack o water/urine can make it difficult to see the bladder... n there on!!.... hope that answers part of yuer query!!