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. Klippeltrenaunay syndrome kts is a rare condition that is typically present at birth. Port wine stain covering one or both arms andor legs. Klippeltrenaunayweber syndrome, parkes weber syndrome. Sonographic identification of klippeltrenaunayweber syndrome. Of unknown etiology, it is believed to pathogenically an alteration occurs in. Parkes weber syndrome is a congenital vascular disease that comprises capillary, venous, lymphatic, and arteriovenous malformations. 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. The syndrome often involves port wine stains, excess growth of bones and soft tissue, and varicose veins. Doctors have been misdiagnosing this for quite a while. Weber syndrome ktws has been used interchangeably with both kts and pws. It is a rare condition presenting in 1 out of 10 000 people. Since the latter 20th century, it is wellrecognized that parkes weber and klippel trenaunay syndromes are entirely different. A subsequent contrastenhanced computed tomographic ct scan of his chest failed to reveal any specific abnormality.
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. 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. A phase 12 study of arq 092 in patients with overgrowth diseases and vascular anomalies with genetic alterations of the pi3kakt pathway. Further adding to the complexity of this distinction, a diagnosis coined klippel. These images are a random sampling from a bing search on the term klippeltrenaunayweber syndrome.
Ernesto gonzalezmesa, marta blasco, jos e anderica, jose herrera. 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. Severe hemorrhage complicating the klippel trenaunay weber syndrome. Anesthesia for surgery related to klippel trenaunay syndrome. There was neither any bony involvement nor mental abnormality. Click on the image or right click to open the source website in a new browser window. Pdf klippel trenaunay weber ktw syndrome with solid. All references of relevant publications were hand searched for additional publi cations. Kts is the prototype of complex overgrowth disorder associated with vascular anomalies and is the. Since the latter 20th century, it is wellrecognized that parkes weber and klippel trenaunay. Klippeltrenauneyweber syndrome associated with hemoptysis.
A provisional diagnosis of klippel trenaunay weber syndrome was made. Bronchoscopy showed an essentially normal tracheobronchial tree. Now available support our efforts while raising awareness with an item from kt place. The etiology of the klippeltrenaunay syndrome kts remains obscure. 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. 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 klipel traynownay sindrohm kts is a rare disorder that affects blood vessels and surrounding tissues. 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. Facomatosi di sturge weber, sindrome di sturge weber. Pdf klippeltrenaunay syndrome and sturgeweber syndrome. 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.
Klippeltrenaunay syndrome genetics home reference nih. The persistent embryonic vein in klippeltrenaunay syndrome. 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. The limb may be larger, longer, andor warmer than normal.
Klippeltrenaunay syndrome causes, diagnosis, prognosis. Klippel trenaunay syndrome and sturge weber syndrome. Klippel trenaunay syndrome kts is a vascular lymphatic malformation underlying with bony and soft tissue hypertrophy. A paper was considered relevant if it dealt with a pev and one or more of the following combinations. Klippel trenaunay syndrome has sometimes been used interchangeably with klippel trenaunay weber syndrome. 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. Calf blood flows have been measured in 33 patients with kts using venous occlusion plethysmography. Megha tollefsons informative webinar discussing both rare and common skin problems in vascular anomalies patients. Klippel trenaunay syndrome has three characteristic features. 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. Klippel trenaunay weber syndrome ktws is characterized by a triad of cutaneous hemangiomas, hemihypertrophy, and vascular abnormalities. Klippel trenaunay weber syndrome is a rare cutaneous vascular disorder characterized by the presence of multiple hemangiomata, arteriovenous fistulas, and limb hypertrophy.
Klippel trenaunay syndrome is a rare but welldocumented congenital malformation. 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. Vascular anomalies, usually swollen or malformed veins. Sindrome di milles, anomalia di sturge weber, sindrome di sturge weber dimitri, sindrome di sturge weber krabbe. The three main features are nevus flammeus portwine stain, venous and lymphatic malformations, and softtissue hypertrophy of the. It is present at birth congenital and usually affects the legs. Klippeltrenaunay syndrome is a condition that affects the development of blood vessels, soft tissues such as skin and muscles, and bones. 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. We report the prenatal sonographic findings in a case of klippel trenaunay weber ktw syndrome including fetal limb hypertrophy and large subcutaneous cystic lesions. 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. A congenital malformation syndrome characterized by the triad of asymmetric limb hypertrophy, hemangiomata, and nevi. Klippeltrenaunay syndrome nord national organization. However, klippel trenaunay syndrome is the correct term used for the triad of congenital anomalies. Measure length and girth of extremity every 36 month.
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