[P191] A case of coexistence of venous lake and Fordyce spot.

( Seung Hwi Kwon ),( Ge-o Han ),( Jiehyun Jeon ),( Hae Jun Song ),( Chil Hwan Oh ) 대한피부과학회 2017 대한피부과학회 학술발표대회집 Vol.69 No.1

A 61-year-old female patient visited our clinic with yellowish to bluish colored nodule on lower lip for several years. She had no underlying disease. Clinical impression was venous lake and the lesion was excised. Histopathological finding showed normal sebaceous glands, consisting of a group of mature sebaceous lobes surrounding small ducts that emerge at the epithelium surface consistent with, Fordyce spot. In dermis, a single large dilated vascular channel was present. It had a very thin fibrous wall and a flat endothelial lining and a thrombus was present in the lumen, consistent with venous lake. Venous lake is a common vascular lesion caused by a focal dilation of venules, characterized clinically by soft, compressible, dark-blue to violaceous papules, which occurs most often on the lips of elderly patients. benign vascular malformation commonly seen in elderly patients. Although not a life-threatening abnormality, venous lake often presents in cosmetically sensitive area and may negatively impact a patient’s quality of life. Fordyce spots are heterotopic sebaceous glands that can be located at the lips’ vermilion or the oral mucosa. Although this is considered rather common disorder, the coexistence with venous lake is rarely reported. Herein, we present a case of coexistence of venous lake and Fordyce spot.

입술 Venous Lake에 대한 경화요법의 치료 효과

현동녘 ( Dong Nyeok Hyun ),원종훈 ( Jong Hoon Won ),박준수 ( Joon Soo Park ),정현 ( Hyun Chung ),장효찬 ( Hyo Chan Jang ) 대한피부과학회 2007 大韓皮膚科學會誌 Vol.45 No.11

Background: Although venous lake is asymptomatic, treatment is usually performed for cosmetic purposes or to prevent bleeding after trauma. The treatment is diverse and includes surgical excision, compression and cryotherapy. Above all, sclerotherapy is a useful and effective procedure for the treatment of venous lake on the lip. Objective: This study was undertaken to assess the effectiveness and complications of the sclerotherapy of venous lake on the lip. Methods: Fifteen lesions from eleven patients with venous lake on the lip were treated with sclerotherapy using sodium tetradecyl sulfate, detergent sclerosant. According to the size of lesions, the volume of infused solution was varied and the effectiveness of treatment was evaluated after four weeks. Results: After a single treatment, fourteen of the fifteen lesions(93.3%) were cleared completely. The remaining lesion was treated one additional time. There were no reported complications during treatment. Conclusion: Sclerotherapy is highly effective and safe for the treatment of venous lake on the lip and may be a promising treatment option. (Korean J Dermatol 2007;45(11):1149∼1153)

A case of epidermal cyst of upper lip masquerading as venous lake

( Tae Han Kim ),( Gwang Hoon Kim ),( Nam Hee Sung ),( Do Hun Kim ),( Hyoseung Shin ),( Ai Young Lee ),( Seung Ho Lee ) 대한피부과학회 2015 대한피부과학회 학술발표대회집 Vol.67 No.1

Epidermal cyst is the most common cutaneous cyst which is the result of the epidermal proliferation in the dermis. Most of epidermal cyst is found on the face, neck, chest, and upper back where the sebaceous glands are active and numerous. However, intraoral epidermoid cysts (including lips) are uncommon and involve only 0.01% of the patients. To our knowledege, there are 7 reported cases of epidermal cyst on the lip worldwidely before this case. We report 34-year-old Korean male patients presented with Solitary dark blue-to-violaceous palpable submucous mass on Rt. upper lip. The lesion was superficially similar to the general venous lake of upper lip. Under the diagonsis of venous lake clinically, he underwent musculo-skeletal ultrasonography on the upper lip for more definite diagnosis. The result showed round hypoechoic nodule with echogenic peripheral wall is noted at the submuscosal area, and the lesion was diagnosed as epidermal cyst more likely than venous lake. The patient treated with surgical excision and biopsy of the cyst. The result of biopsy exhibited the diagnosis of epidermal cyst. Herein, we report a extremely rare case of epidermal cyst of upper lip masquerading as venous lake. And it is essential to apply ultrasonopraphy before the treatment of equivocal venous lake patients.

The Effect of 0.5% Sodium Tetradecyl Sulfate on a Venous Lake Lesion

정석준,서영주,박은주,김철우,조희진,김광호,김광중 대한피부과학회 2008 Annals of Dermatology Vol.20 No.4

Background: A venous lake lesion is a venous ectasia that occurs on the exposed skin of elderly people. Although a number of therapies such as surgical excision, laser therapy, infrared coagulation, cryotherapy and sclerotherapy have been used to treat venous lakes, there is no guideline for treating this lesion. Objective: The purpose of this study was to determine whether 0.5% sodium tetradecyl sulfate (STS) is effective for the treatment of venous lake lesions. Methods: Twelve patients with venous lake lesions were enrolled In this study. After proper antiseptic preparation, 0.5% STS was slowly injected into each subject's lesion, and this was followed by immediate compression for 10 minutes. Results: After treatment, all of the patients' lesions cleared completely. The average number of treatments was 2.15±1.28. Two patients experienced mild side effects such as light pain and paresthesia, and these soon disappeared. There were no serious side effects reported during treatment. The mean follow up period was 29.58±13.48 months. Conclusion: We have demonstrated that sclerotherapy with 0.5% STS was quite effective for treating venous lake lesions, and this treatment caused no serious adverse effects. (Ann Dermatol(Seoul) 20(4) 179∼183, 2008) Background: A venous lake lesion is a venous ectasia that occurs on the exposed skin of elderly people. Although a number of therapies such as surgical excision, laser therapy, infrared coagulation, cryotherapy and sclerotherapy have been used to treat venous lakes, there is no guideline for treating this lesion. Objective: The purpose of this study was to determine whether 0.5% sodium tetradecyl sulfate (STS) is effective for the treatment of venous lake lesions. Methods: Twelve patients with venous lake lesions were enrolled In this study. After proper antiseptic preparation, 0.5% STS was slowly injected into each subject's lesion, and this was followed by immediate compression for 10 minutes. Results: After treatment, all of the patients' lesions cleared completely. The average number of treatments was 2.15±1.28. Two patients experienced mild side effects such as light pain and paresthesia, and these soon disappeared. There were no serious side effects reported during treatment. The mean follow up period was 29.58±13.48 months. Conclusion: We have demonstrated that sclerotherapy with 0.5% STS was quite effective for treating venous lake lesions, and this treatment caused no serious adverse effects. (Ann Dermatol(Seoul) 20(4) 179∼183, 2008)

Orginal Articles : The Effect of 0.5% Sodium Tetradecyl Sulfate on a Venous Lake Lesion

( Suck Joon Jung ),( Young Ju Seo ),( Eun Ju Park ),( Chul Woo Kim ),( Hee Jin Cho ),( Kwang Ho Kim ),( Kwang Joong Kim ) 대한피부과학회 2008 Annals of Dermatology Vol.20 No.4

Background: A venous lake lesion is a venous ectasia that occurs on the exposed skin of elderly people. Although a number of therapies such as surgical excision, laser therapy, infrared coagulation, cryotherapy and sclerotherapy have been used to treat venous lakes, there is no guideline for treating this lesion. Objective: The purpose of this study was to determine whether 0.5% sodium tetradecyl sulfate (STS) is effective for the treatment of venous lake lesions. Methods: Twelve patients with venous lake lesions were enrolled In this study. After proper antiseptic preparation, 0.5% STS was slowly injected into each subject`s lesion, and this was followed by immediate compression for 10 minutes. Results: After treatment, all of the patients` lesions cleared completely. The average number of treatments was 2.15±1.28. Two patients experienced mild side effects such as light pain and paresthesia, and these soon disappeared. There were no serious side effects reported during treatment. The mean follow up period was 29.58±13.48 months. Conclusion: We have demonstrated that sclerotherapy with 0.5% STS was quite effective for treating venous lake lesions, and this treatment caused no serious adverse effects. (Ann Dermatol (Seoul) 20(4) 179∼183, 2008)

Therapeutic effect of long-pulsed 1,064-nm Nd:YAG lasers on venous lakes in Korean patients: a case report

Lee Jiwon,Lee Sang Ju,Cho Han Kyoung 대한의학레이저학회 2023 MEDICAL LASERS Vol.12 No.4

Venous lakes are soft, compressible papules typically located in the superficial papillary dermis of sun-exposed skin, including that of the face, ears, and lips, contain dilated thin-walled venules and are surrounded by a thin fibrous tissue layer. The primary interventions for treating venous lakes include improving cosmetic appearance and managing bleeding. Laser therapy is favored because of its proven efficacy, safety, and convenience. Long-pulsed 1,064-nm neodymium-doped yttrium aluminum garnet (Nd:YAG) lasers, capable of penetrating tissue depths of 7 to 10 mm, are utilized to target moderately deep and large vessels. This report describes two successful cases of venous lake treatment in Korean patients using long-pulsed Nd:YAG lasers.

경화제를 이용하여 치료한 venous Lake 2예

김원호 ( Won Ho Kim ),김성식 ( Sung Sik Kim ),김철우 ( Chul Woo Kim ),김광호 ( Kwang Ho Kim ),김광중 ( Kwang Joong Kim ) 대한피부과학회 2005 대한피부과학회지 Vol.43 No.1

아랫 입술에 발생한 정맥호와 병발한 청색 모반 1예

박영준,김유찬 대한피부과학회 2018 대한피부과학회지 Vol.56 No.3