Klippel-Trenaunay syndrome

Susan A. Berry, Carrie Peterson, William Mize, Kenneth Bloom, Christopher Zachary, Peter Blasco, David Hunter

Research output: Contribution to journalArticle

151 Citations (Scopus)

Abstract

Patients with Klippel-Trenaunay (KT) syndrome have a complex constellation of anomalies that includes cutaneous capillary malformation (usually on an affected limb), abnormal development of the deep and superficial veins, and limb asymmetry, usually enlargement. Mixed vascular malformations may be present and include capillary, venous, arterial, and lymphatic systems. The records of 79 patients referred for vascular anomalies were reviewed and 49 were found to have the three 'cardinal' anomalies of KT syndrome. Twenty-six females and 23 males had 46 affected legs (27 right legs), 23 affected arms (15 right), 21 affected trunks, and 10 affected heads. Thirty-six had only one affected quadrant, 8 had two, and 5 had three or more. Although 40 patients had increased limb girth, measurable length discrepancy was noted in only 17 individuals. Patients were evaluated using a noninvasive imaging strategy including color duplex ultrasonography, MRI, lymphoscintigraphy, and plain radiographs. Treatment included compression, pulsed-dye laser treatment, reduction of arteriovenous malformations, and orthopedic procedures for overgrowth. All KT cases in this series occurred sporadically. We speculate that KT syndromes may be due to a somatic mutation for a factor critical to vasculogenesis and angiogenesis in embryonic development.

Original languageEnglish (US)
Pages (from-to)319-326
Number of pages8
JournalAmerican Journal of Medical Genetics
Volume79
Issue number4
DOIs
StatePublished - Oct 2 1998
Externally publishedYes

Fingerprint

Klippel-Trenaunay-Weber Syndrome
Extremities
Leg
Orthopedic Procedures
Lymphoscintigraphy
Dye Lasers
Lymphatic System
Vascular Malformations
Arteriovenous Malformations
Embryonic Development
Blood Vessels
Veins
Ultrasonography
Arm
Color
Head
Skin
Mutation
Therapeutics

Keywords

  • Klippel-Trenaunay syndrome
  • Noninvasive imaging
  • Vascular anomaly

ASJC Scopus subject areas

  • Genetics(clinical)

Cite this

Berry, S. A., Peterson, C., Mize, W., Bloom, K., Zachary, C., Blasco, P., & Hunter, D. (1998). Klippel-Trenaunay syndrome. American Journal of Medical Genetics, 79(4), 319-326. https://doi.org/10.1002/(SICI)1096-8628(19981002)79:4<319::AID-AJMG15>3.0.CO;2-U

Klippel-Trenaunay syndrome. / Berry, Susan A.; Peterson, Carrie; Mize, William; Bloom, Kenneth; Zachary, Christopher; Blasco, Peter; Hunter, David.

In: American Journal of Medical Genetics, Vol. 79, No. 4, 02.10.1998, p. 319-326.

Research output: Contribution to journalArticle

Berry, SA, Peterson, C, Mize, W, Bloom, K, Zachary, C, Blasco, P & Hunter, D 1998, 'Klippel-Trenaunay syndrome', American Journal of Medical Genetics, vol. 79, no. 4, pp. 319-326. https://doi.org/10.1002/(SICI)1096-8628(19981002)79:4<319::AID-AJMG15>3.0.CO;2-U
Berry SA, Peterson C, Mize W, Bloom K, Zachary C, Blasco P et al. Klippel-Trenaunay syndrome. American Journal of Medical Genetics. 1998 Oct 2;79(4):319-326. https://doi.org/10.1002/(SICI)1096-8628(19981002)79:4<319::AID-AJMG15>3.0.CO;2-U
Berry, Susan A. ; Peterson, Carrie ; Mize, William ; Bloom, Kenneth ; Zachary, Christopher ; Blasco, Peter ; Hunter, David. / Klippel-Trenaunay syndrome. In: American Journal of Medical Genetics. 1998 ; Vol. 79, No. 4. pp. 319-326.
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