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[Klippel-Trénaunay-Weber syndrome].

G Chessa Ricotti, F Giambi, R Martini

    La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
    |July 1, 1984
    PubMed
    Summary

    Klippel-Trénaunay Weber Syndrome, a rare vascular malformation, presented in a 12-year-old girl with limb asymmetry and skin changes. This case highlights the syndrome

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    Area of Science:

    • Vascular Surgery
    • Pediatric Cardiology
    • Clinical Case Reports

    Background:

    • Klippel-Trénaunay Weber Syndrome (KTWS) is a rare congenital disorder characterized by the triad of vascular malformations, soft tissue hypertrophy, and skeletal abnormalities.
    • It is a complex condition affecting blood vessels, lymphatic system, and bones, often presenting with significant clinical manifestations.

    Observation:

    • A 12-year-old female patient presented with congenital flat angiomas on her lower limbs, progressively enlarging with growth.
    • Clinical examination revealed marble skin (cutis marmorata) and telangiectatic edema, predominantly affecting the left lower limb, causing asymmetry.
    • No internal organ involvement or other minor signs of the syndrome were noted in the patient or her family history.

    Findings:

    • The patient was diagnosed with Klippel-Trénaunay Weber Syndrome based on the characteristic clinical features.
    • The absence of internal angiomas and a negative family history are notable aspects of this case presentation.
    • The progressive nature of the limb angiomas correlated with the patient's somatic growth.

    Implications:

    • This case underscores the importance of early diagnosis and multidisciplinary management for Klippel-Trénaunay Weber Syndrome.
    • Understanding the phenotypic variability is crucial for accurate diagnosis and prognosis in pediatric vascular anomalies.
    • Further research into the genetic and molecular basis of KTWS may elucidate novel therapeutic targets.

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