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Published on: September 19, 2019
Microcystic lymphatic malformation in a child and his mother
Aastha Gupta1, Kabir Sardana1, Pooja Arora1
1Department of Dermatology, PGIMER Dr Ram Manohar Lohia Hospital, New Delhi, India.
Insights
A rare familial case of microcystic lymphatic malformation (LM) was identified in a mother and son. This condition, typically sporadic, presented with perioral swelling and fluid-filled vesicles, confirmed by imaging and histology.
Area of Science:
- Vascular anomalies
- Pediatric dermatology
- Medical genetics
Background:
- Microcystic lymphatic malformation (LM) is a rare vascular anomaly.
- Familial inheritance patterns are not well-established for microcystic LM.
- Previous reports suggest autosomal recessive inheritance for isolated cystic hygromas.
Observation:
- A 3-year-old boy presented with perioral swelling and grouped vesicles.
- The patient's mother exhibited similar symptoms affecting the lip, cheek, and ala of the nose.
- Both mother and son displayed similar lesions on the same side of the face.
Findings:
- Magnetic resonance imaging (MRI) and histopathology confirmed microcystic LM in both patients.
- This represents the first reported familial case of microcystic LM.
- The presentation suggests a potential genetic component in microcystic LM.
Implications:
- This case expands the understanding of lymphatic malformation inheritance.
- Highlights the importance of considering familial factors in diagnosing microcystic LM.
- Further research into the genetic basis of microcystic LM is warranted.
Abstract:
A 3-year-old boy presented to us with swelling of the right upper lip and the surrounding perioral area with the multiple clear fluid-filled grouped vesicles on the mucosal surface. The patient's mother had a similar swelling located at the same anatomic location extending to the cheek and the ala of nose on the same side. Magnetic resonance imaging and histopathological examination were suggestive of microcystic lymphatic malformation (LM) in both mother and child. Although an autosomal recessive inheritance pattern has been reported for isolated cystic hygromas, no familial case of microcystic LM has been reported previously.
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