However, it is agreed upon by most doctors, including those found at the mayo clinic, boston childrens hospital, cincinnati childrens hospital, and at the klippel trenaunay support group website. Doctors have been misdiagnosing this for quite a while. Ernesto gonzalezmesa, marta blasco, jos e anderica, jose herrera. Since the latter 20th century, it is wellrecognized that parkes weber and klippel trenaunay syndromes are entirely different. The limb may be larger, longer, andor warmer than normal. The persistent embryonic vein in klippeltrenaunay syndrome. Facomatosi di sturge weber, sindrome di sturge weber. Although parkes weber syndrome is a clinically distinct entity with serious complications, it is still frequently misdiagnosed as klippel trenaunay syndrome, which consists of a triad of malformations involving the capillary, venous, and lymphatic. In most cases, it involves only one extremity with arteriovenous malformation and approximately 75% of patients manifest the disease before 10 years of age 2, 3. A paper was considered relevant if it dealt with a pev and one or more of the following combinations. Klippel trenaunay syndrome kts is a vascular lymphatic malformation underlying with bony and soft tissue hypertrophy.
However, klippel trenaunay syndrome is the correct term used for the triad of congenital anomalies. Pdf klippeltrenaunay syndrome and sturgeweber syndrome. Parkes weber syndrome is a congenital vascular disease that comprises capillary, venous, lymphatic, and arteriovenous malformations. Klippel trenaunay weber syndrome is a rare cutaneous vascular disorder characterized by the presence of multiple hemangiomata, arteriovenous fistulas, and limb hypertrophy. Vascular anomalies, usually swollen or malformed veins. Although parkes weber syndrome is a clinically distinct entity with serious complications, it is still frequently misdiagnosed as klippel trenaunay syndrome, which consists of a triad of malformations involving the capillary, venous, and lymphatic vessels. Kts is the prototype of complex overgrowth disorder associated with vascular anomalies and is the. Klippel trenaunay weber congenital vascular malformation characterized by a triad of clinical manifestations comprising a venular, venous and lymphatic vascular malformation, with hypertrophy increased skeletal and soft tissue of one or more members. Klippeltrenaunay syndrome causes, diagnosis, prognosis. Sindrome di milles, anomalia di sturge weber, sindrome di sturge weber dimitri, sindrome di sturge weber krabbe. Now available support our efforts while raising awareness with an item from kt place. Klippeltrenaunay syndrome nord national organization.
Measure length and girth of extremity every 36 month. It is a rare condition presenting in 1 out of 10 000 people. Klippel trenaunay syndrome sometimes also called klippel trenaunay weber syndrome, is a rare disorder found at birth congenital that affects the development of blood vessels, soft tissues such as skin and muscles, bones and the lymphatic system. Asymmetric limb hypertrophy is enlargement of one limb and not the corresponding limb on the other side, the enlarged limb being 3 times more likely to be a leg than an arm in ktw. Klippel trenaunay syndrome has three characteristic features. Klippel trenaunay syndrome and sturge weber syndrome. These images are a random sampling from a bing search on the term klippeltrenaunayweber syndrome. Megha tollefsons informative webinar discussing both rare and common skin problems in vascular anomalies patients. Klippeltrenaunay syndrome kts is a rare congenital vascular disorder in which a limb may be affected by port wine stains redpurple birthmarks involving blood vessels, varicose veins, andor too much bone and soft tissue growth. The syndrome often involves port wine stains, excess growth of bones and soft tissue, and varicose veins. A phase 12 study of arq 092 in patients with overgrowth diseases and vascular anomalies with genetic alterations of the pi3kakt pathway. Klippel trenaunay syndrome formerly klippel trenaunay weber syndrome and sometimes angioosteohypertrophy syndrome and hemangiectatic hypertrophy, is a rare congenital medical condition in which blood vessels andor lymph vessels fail to form properly.
Klippel trenaunay syndrome is a rare but welldocumented congenital malformation. Port wine stain covering one or both arms andor legs. A subsequent contrastenhanced computed tomographic ct scan of his chest failed to reveal any specific abnormality. Since the latter 20th century, it is wellrecognized that parkes weber and klippel trenaunay. Sonographic identification of klippeltrenaunayweber syndrome. Klippel trenaunay weber syndrome ktws is characterized by a triad of cutaneous hemangiomas, hemihypertrophy, and vascular abnormalities. Weber syndrome ktws has been used interchangeably with both kts and pws. All references of relevant publications were hand searched for additional publi cations. Pdf klippel trenaunay weber ktw syndrome with solid. There was neither any bony involvement nor mental abnormality. The etiology of the klippeltrenaunay syndrome kts remains obscure. Klippeltrenaunayweber syndrome, parkes weber syndrome. Klippeltrenaunay syndrome kts is a rare condition that is typically present at birth.
Calf blood flows have been measured in 33 patients with kts using venous occlusion plethysmography. Further adding to the complexity of this distinction, a diagnosis coined klippel. A 36 yrs old male patient presented with a 4 months history of a mass in neck along with a small swelling on the forearm from past several years. Klippel trenaunay syndrome ktw is a rare, sporadic syndrome characterized by a triad of portwine stain, varicose veins with or without venous malformations, and bony and soft tissue hypertrophy. In the past, a number of different conditions have been lumped together under the moniker of kts, including parkes weber syndrome and diffuse capillary malformation with overgrowth, but clearer.
It is present at birth congenital and usually affects the legs. Anesthesia for surgery related to klippel trenaunay syndrome. Click on the image or right click to open the source website in a new browser window. Severe hemorrhage complicating the klippel trenaunay weber syndrome. Although venous hypertension secondary to deep venous obstruction has been suggested as a cause, recent studies have demonstrated that most patients have unimpeded venous drainage. Klippeltrenaunay syndrome is a condition that affects the development of blood vessels, soft tissues such as skin and muscles, and bones. Bronchoscopy showed an essentially normal tracheobronchial tree. Klippel trenaunay syndrome kts is a complex congenital disorder that historically has been defined as the triad of capillary malformation, venous malformation, and limb overgrowth. A provisional diagnosis of klippel trenaunay weber syndrome was made. Klippeltrenauneyweber syndrome associated with hemoptysis. For many years, the names of all three physicians were linked as a confusing and incorrect term klippel weber trenaunay syndrome, which still is unfortunately sometimes used to this day. We report the prenatal sonographic findings in a case of klippel trenaunay weber ktw syndrome including fetal limb hypertrophy and large subcutaneous cystic lesions. The three main features are nevus flammeus portwine stain, venous and lymphatic malformations, and softtissue hypertrophy of the.
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