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December 15, 1962

Nevus Flammeus-Reply

Author Affiliations

State University of Iowa, Iowa City

JAMA. 1962;182(11):1136-1137. doi:10.1001/jama.1962.03050500068020

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To the Editor:—  I am happy to have your comments regarding treatment of port-wine hemangiomas. I did not go deeply into the treatment of these lesions, since the question itself left doubt as to the nature of the lesion. Although I am without personal experience in tattooing of flesh-colored pigments over this type of angioma, it has been my impression that exact color matching with normal skin is often difficult and it seems, to me at least, that a peculiar-looking artificial lesion attracts more attention than a naturally occurring one. However, I am aware that the patient may feel differently. It is not unusual to see a patient who is perfectly happy even with a severe radiodermatitis which has replaced, at least partially, a port-wine mark.Most important, I think, is that nothing be done which scars the skin or changes its contours and elasticity. Cosmetic hiding of the lesions