Successful treatment of a scalp arteriovenous malformation with ulcerative hemorrhage and localized alopecia.

IF 1.1 4区医学 Q3 DERMATOLOGY

Wounds : a compendium of clinical research and practice Pub Date : 2025-07-01

Yuxi Chen, Bin Sun, Xi Yang, Chen Hua, Xiaoxi Lin

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引用次数: 0

Abstract

Background: Scalp arteriovenous malformation (AVM) and its clinical course associated with ulcerative hemorrhage and local alopecia are rarely reported.

Case report: An 18-year-old male presented to a vascular anomalies center with scalp AVM and ulcerative hemorrhages over a 6-month period due to post-excision recurrence, initially associated with thinning hair and scalp erythema around the AVM lesion. After meticulous debridement, the patient was immediately given an ethanol embolization. He was advised against home wound care to prevent possible hemorrhage. After several effective interventional sessions over an 18-month period, not only was the AVM lesion extensively eliminated, but restoration of hair growth around the lesion was observed. This phenomenon may be attributed to the alleviation of deep, high-flow AVM steal phenomenon, which in turn restored normal blood supply to superficial layers, promoting ulcer healing and hair regrowth.

Conclusion: This report suggests that scalp AVMs can be accompanied by AVM-related alopecia, which may recover after ethanol embolization. This report also suggests that restrictive debridement during multiple intervention sessions can be feasible in ulcerated AVMs with a high risk of hemorrhage.

本刊更多论文

成功治疗伴有溃疡性出血和局限性脱发的头皮动静脉畸形。

背景：与溃疡性出血和局部脱发相关的头皮动静脉畸形（AVM）及其临床过程很少报道。病例报告：一名18岁男性，因头皮动静脉畸形和术后复发导致溃疡性出血6个月，最初伴有头皮动静脉畸形周围的头发稀疏和头皮红斑。仔细清创后，患者立即给予乙醇栓塞。医生建议他不要在家护理伤口，以免出血。在18个月的时间里，经过几次有效的干预，不仅AVM病变被广泛消除，而且病变周围的毛发生长也得到了恢复。这种现象可能归因于深层、高流量的AVM偷窃现象的缓解，这反过来又恢复了浅层的正常血液供应，促进溃疡愈合和头发再生。结论：头皮avm可伴有avm相关性脱发，经乙醇栓塞后可恢复。该报告还提示，对于出血风险高的溃疡性动静脉畸形，在多次干预期间进行限制性清创是可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wounds : a compendium of clinical research and practice 医学-皮肤病学

CiteScore

1.50

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Wounds is the most widely read, peer-reviewed journal focusing on wound care and wound research. The information disseminated to our readers includes valuable research and commentaries on tissue repair and regeneration, biology and biochemistry of wound healing, and clinical management of various wound etiologies. Our multidisciplinary readership consists of dermatologists, general surgeons, plastic surgeons, vascular surgeons, internal medicine/family practitioners, podiatrists, gerontologists, researchers in industry or academia (PhDs), orthopedic surgeons, infectious disease physicians, nurse practitioners, and physician assistants. These practitioners must be well equipped to deal with a myriad of chronic wound conditions affecting their patients including vascular disease, diabetes, obesity, dermatological disorders, and more. Whether dealing with a traumatic wound, a surgical or non-skin wound, a burn injury, or a diabetic foot ulcer, wound care professionals turn to Wounds for the latest in research and practice in this ever-growing field of medicine.