188. Laser Treatment for Cutaneous Vascular Anomalies

  1. Alan D. Irvine MD, FRCPI, FRCP2,3,
  2. Peter H. Hoeger MD4,5 and
  3. Albert C. Yan MD, FAAP, FAAD6,7
  1. Samira Syed MBBS, DCH(Lond), DCCH, RCPEd, RCGP, FCM, BTEC Adv Laser,
  2. Jane Linward MD and
  3. John Harper MD, FRCP, FRCPCH

Published Online: 24 MAY 2011

DOI: 10.1002/9781444345384.ch188

Harper's Textbook of Pediatric Dermatology, Volume 1, 2, Third Edition

Harper's Textbook of Pediatric Dermatology, Volume 1, 2, Third Edition

How to Cite

Syed, S., Linward, J. and Harper, J. (2011) Laser Treatment for Cutaneous Vascular Anomalies, in Harper's Textbook of Pediatric Dermatology, Volume 1, 2, Third Edition (eds A. D. Irvine, P. H. Hoeger and A. C. Yan), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444345384.ch188

Editor Information

  1. 2

    Trinity College, Dublin, Ireland

  2. 3

    Our Lady's Children's Hospital, Dublin, Ireland

  3. 4

    University of Hamburg, Hamburg, Germany

  4. 5

    Catholic Children's Hospital Wilhelmstift, Hamburg, Germany

  5. 6

    University of Pennsylvania School of Medicine, Philadelphia, PA, USA

  6. 7

    The Children's Hospital of Philadelphia, Philadelphia, PA, USA

Author Information

  1. Paediatric Dermatology, Great Ormond Street Hospital for Children, NHS Trust, London, UK

Publication History

  1. Published Online: 24 MAY 2011
  2. Published Print: 3 JUN 2011

ISBN Information

Print ISBN: 9781405176958

Online ISBN: 9781444345384



  • laser treatment for cutaneous vascular anomalies;
  • laser technology;
  • LASER (light amplification by stimulation of radiation);
  • optical penetration into skin - absorption and scattering of light;
  • selective photothermolysis - principle of coagulation, appropriate wavelength selection;
  • vascular pulsed-dye lasers - rhodamine dye, excited by a xenon flash lamp;
  • newer generation - of vascular lasers;
  • PDLs, safe and effective treatment - for vascular anomalies of skin;
  • Port wine stains (PWS) - affecting 3 in 1000 newborn infants;
  • ulcerated haemangiomas - treatment with propranolol for children


This chapter contains sections titled:

  • History of laser technology

  • Mechanism of action of vascular lasers

  • Vascular pulsed - dye lasers

  • Treatment of port wine stains

  • Treatment of haemangiomas

  • Treatment of telangiectasia

  • Treatment of cutis marmorata telangiectatica congenita

  • Treatment of angioma serpigiosum

  • Treatment of the skin lesions in Goltz syndrome

  • Treatment of inflammatory epidermal naevi

  • Other indications for vascular laser treatment

  • References