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Combined Lymphedema and Capillary Malformation of the Lower Extremity.

Identifieur interne : 000A01 ( PubMed/Checkpoint ); précédent : 000A00; suivant : 000A02

Combined Lymphedema and Capillary Malformation of the Lower Extremity.

Auteurs : Reid A. Maclellan ; Gulraiz Chaudry ; Arin K. Greene

Source :

RBID : pubmed:27014547

Abstract

Primary lymphedema and capillary malformation are independent vascular malformations that can cause overgrowth of the lower extremity. We report a series of patients who had both types of malformations affecting the same leg. The condition is unique but may be confused with other types of vascular malformation overgrowth conditions (eg, Klippel-Trenaunay and Parkes Weber).

DOI: 10.1097/GOX.0000000000000487
PubMed: 27014547


Affiliations:


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pubmed:27014547

Le document en format XML

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<name sortKey="Maclellan, Reid A" sort="Maclellan, Reid A" uniqKey="Maclellan R" first="Reid A" last="Maclellan">Reid A. Maclellan</name>
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<nlm:affiliation>Department of Plastic and Oral Surgery, and Department of Radiology, Vascular Anomalies Center, Lymphedema Program Boston Children's Hospital, Harvard Medical School, Boston, Mass.</nlm:affiliation>
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<name sortKey="Chaudry, Gulraiz" sort="Chaudry, Gulraiz" uniqKey="Chaudry G" first="Gulraiz" last="Chaudry">Gulraiz Chaudry</name>
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<nlm:affiliation>Department of Plastic and Oral Surgery, and Department of Radiology, Vascular Anomalies Center, Lymphedema Program Boston Children's Hospital, Harvard Medical School, Boston, Mass.</nlm:affiliation>
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<name sortKey="Greene, Arin K" sort="Greene, Arin K" uniqKey="Greene A" first="Arin K" last="Greene">Arin K. Greene</name>
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<div type="abstract" xml:lang="en">Primary lymphedema and capillary malformation are independent vascular malformations that can cause overgrowth of the lower extremity. We report a series of patients who had both types of malformations affecting the same leg. The condition is unique but may be confused with other types of vascular malformation overgrowth conditions (eg, Klippel-Trenaunay and Parkes Weber).</div>
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<Title>Plastic and reconstructive surgery. Global open</Title>
<ISOAbbreviation>Plast Reconstr Surg Glob Open</ISOAbbreviation>
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<ArticleTitle>Combined Lymphedema and Capillary Malformation of the Lower Extremity.</ArticleTitle>
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<AbstractText Label="UNLABELLED">Primary lymphedema and capillary malformation are independent vascular malformations that can cause overgrowth of the lower extremity. We report a series of patients who had both types of malformations affecting the same leg. The condition is unique but may be confused with other types of vascular malformation overgrowth conditions (eg, Klippel-Trenaunay and Parkes Weber).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Our Vascular Anomalies Center and Lymphedema Program databases were searched for patients with both capillary malformation and lymphedema. Diagnosis of lymphedema-capillary malformation was made by history, physical examination, and imaging studies. Because lymphedema-capillary malformation has phenotypical overlap with other conditions, only patients who had imaging confirming their diagnosis were included in the analysis. Clinical and radiological features, morbidity, and treatment were recorded.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Eight patients (4 females and 4 males) had confirmed lymphedema-capillary malformation. Referring diagnosis was Klippel-Trenaunay syndrome (n = 4), diffuse capillary malformation with overgrowth (n = 3), or lymphatic malformation (n = 1). The condition was unilateral (n = 6) or bilateral (n = 2). Morbidity included infection (n = 6), difficulty fitting clothes (n = 6), bleeding or leaking vesicles (n = 5), leg length discrepancy (n = 4), and difficulty ambulating (n = 3). All patients were managed with compression regimens. Operative management was liposuction (n = 3), treatment of phlebectatic veins (n = 3), staged skin/subcutaneous excision (n = 1), and/or epiphysiodesis (n = 1).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Lymphedema and capillary malformation can occur together in the same extremity. Both conditions independently cause limb overgrowth primarily because of subcutaneous adipose deposition. Compression garments and suction-assisted lipectomy can improve the condition. Lymphedema-capillary malformation should not be confused with other vascular malformation overgrowth diseases that have different morbidities and treatments.</AbstractText>
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