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Acquired digital arteriovenous malformation: Ultrasound imaging and response to long- pulsed neodymium:yttrium-aluminum-garnet treatment  Philip S. Bekhor,

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Presentation on theme: "Acquired digital arteriovenous malformation: Ultrasound imaging and response to long- pulsed neodymium:yttrium-aluminum-garnet treatment  Philip S. Bekhor,"— Presentation transcript:

1 Acquired digital arteriovenous malformation: Ultrasound imaging and response to long- pulsed neodymium:yttrium-aluminum-garnet treatment  Philip S. Bekhor, MBBS, FACD, Michael R. Ditchfield, MBBS, MD, FRANZCR  Journal of the American Academy of Dermatology  Volume 56, Issue 5, Pages S122-S124 (May 2007) DOI: /j.jaad Copyright © 2007 American Academy of Dermatology, Inc. Terms and Conditions

2 Fig 1 Case 1 before treatment demonstrating blood blister–like swelling. Journal of the American Academy of Dermatology  , S122-S124DOI: ( /j.jaad ) Copyright © 2007 American Academy of Dermatology, Inc. Terms and Conditions

3 Fig 2 Longitudinal ultrasound image of palmar surface of distal digit demonstrating well-defined hypoechoic lesion with mild surrounding hyperechogenicity in pulp of digit. Journal of the American Academy of Dermatology  , S122-S124DOI: ( /j.jaad ) Copyright © 2007 American Academy of Dermatology, Inc. Terms and Conditions

4 Fig 3 A, Color Doppler image demonstrating lesion and surrounding tissue to be highly vascular. B, Pulsed Doppler waveform demonstrating arterial and venous pattern of flow. Journal of the American Academy of Dermatology  , S122-S124DOI: ( /j.jaad ) Copyright © 2007 American Academy of Dermatology, Inc. Terms and Conditions

5 Fig 4 Case 1, 9 months posttreatment with long-pulsed neodymium:yttrium-aluminum-garnet showing complete resolution without scarring. Journal of the American Academy of Dermatology  , S122-S124DOI: ( /j.jaad ) Copyright © 2007 American Academy of Dermatology, Inc. Terms and Conditions

6 Fig 5 Case 2 before treatment demonstrating linear telangiectasia parallel to dermatoglyphics showing some tiny aneurysmal dilatations. Journal of the American Academy of Dermatology  , S122-S124DOI: ( /j.jaad ) Copyright © 2007 American Academy of Dermatology, Inc. Terms and Conditions

7 Fig 6 Case 2, 6 months after second session of long-pulsed neodymium:yttrium-aluminum-garnet laser, 3-mm spot at 250 J/cm2 and 55-millisecond with skin cooling showing 90% improvement. Journal of the American Academy of Dermatology  , S122-S124DOI: ( /j.jaad ) Copyright © 2007 American Academy of Dermatology, Inc. Terms and Conditions

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