Hunan**February 23 (text**Quan**Reporter Zhou Yangle, correspondent Wang Songming, Wu Yifan) A 3-year-old boy from Loudi Momo (pseudonym) was found to have purple-red papules on his left lower limbs and ** shortly after birth, and his lower limbs were unequal in size. Recently, under the leadership of his parents, he silently came to the ** department of Hunan Provincial Children's Hospital for treatment. After a detailed examination and comprehensive evaluation, he was admitted to the hospital and diagnosed with a rare mixed malformation, Klipple Trenaunay syndrome (KTS).
According to Wei Zhu, chief physician of the hospital's ** department, KTS is a clinically complex congenital venous vascular dysplasia disease, which is unknown, and generally manifests itself clinically with three typical features, namely capillary malformation (port-wine stains), varicose veins and lymphangiogenesis (resulting in soft tissue hypertrophy and unequal length of lower limbs), which are easily misdiagnosed as hemangiomas and simple varicose veins of the lower limbs. KTS vascular malformations may affect the gastrointestinal tract, liver, spleen, heart, vena cava and genitourinary system, and hemorrhoids in children are not uncommon in daily life, but the condition accompanied by obvious asymmetric growth of limbs is extremely special.
When he was silently admitted to the hospital, his symptoms attracted great attention from the MDT team of refractory hemangiomas and vascular malformations in the ** Department & Vascular Interventional Department of our hospital. Wei Zhu introduced that after detailed **, the hospital decided to adopt a comprehensive individualized diagnosis and treatment strategy for Momo, and at the same time conduct a comprehensive assessment of the venous system of its lower limbs and give interventional surgery and appropriate physical and drug ** to reduce swelling, pain and prevent thrombosis, etc., and now Momo's condition has stabilized.
When children have unexplained colorectal bleeding with asymmetrical growth of limbs, they should seek medical attention in a professional institution in time to diagnose the disease. Wei Zhu pointed out that although KTS cannot be completely ** at present, for patients diagnosed with KTS (especially with limb dysplasia), on the basis of the summary of existing clinical studies, multidisciplinary evaluation of the extent of their lesions and the possibility of disease development, and the development of long-term follow-up and ** planning, can slow down the progression of venous diseases related to the disease and improve the quality of life of patients. "This silent case is also a reminder that even seemingly mundane clinical symptoms can hide traces of rare diseases. With advances in medical technology, accurate diagnosis and individualization** make it possible for patients with Klippel-Trenaunay syndrome to have a better quality of life and a longer life span. ”
Author: Zhou Yangle.
Editor-in-charge: Xia Hong.
*:Hunan**.