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Stewart-Bluefarb syndrome: a case report with angiographic findings

Bengu Gerceker Turk1, Ugur Onsel Turk, Emin Alioglu

  • 1Department of Dermatology, Medical Faculty, Ege University, Bornova TR-35100, Izmir, Turkey. bengugerceker@yahoo.com

The Journal of Dermatology
|July 9, 2009
PubMed

Insights

Acroangiodermatitis, a skin condition linked to vascular issues, can present late in life. This case highlights a rare Stewart-Bluefarb syndrome diagnosis in an adult, emphasizing delayed recognition of congenital arteriovenous malformations.

Area of Science:

  • Dermatology
  • Vascular Surgery
  • Medical Genetics

Background:

  • Acroangiodermatitis encompasses benign angioproliferative skin disorders.
  • Causes include chronic venous insufficiency, arteriovenous shunts, and limb paralysis.
  • Stewart-Bluefarb syndrome is a specific type linked to congenital arteriovenous malformations.

Observation:

  • Stewart-Bluefarb syndrome typically manifests with kaposiform lesions in the second decade of life.
  • This report details a rare case of acroangiodermatitis associated with a congenital arteriovenous malformation.
  • The diagnosis was established in a patient over 40 years after the initial presentation.

Findings:

  • The study describes a delayed diagnosis of acroangiodermatitis in an adult patient.
  • Congenital arteriovenous malformations can lead to acroangiodermatitis, even with late presentation.
  • Kaposiform lesions were noted in the context of Stewart-Bluefarb syndrome.

Implications:

  • This case underscores the importance of considering acroangiodermatitis in adults with unexplained skin lesions and vascular abnormalities.
  • Delayed diagnosis of congenital arteriovenous malformations can occur, necessitating thorough vascular assessment.
  • Early recognition and management of Stewart-Bluefarb syndrome may improve patient outcomes.

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