Capillary‐Lymphatic Malformation, Kaposiform Hemangioendothelioma and Delayed Kasabach‐Merritt Phenomenon
: According to International Society for the Study of Vascular Anomalies classification, vascular anomalies are mainly divided into two groups: vascular tumors and vascular malformations. Nevertheless, a small group of patients present clinical and/or histopathologic overlapping features. We report...
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| Veröffentlicht in: | Pediatric dermatology 2011-07, Vol.28 (4), p.439-443 |
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| creator | del Pozo, Jesús López‐Gutiérrez, Juan Carlos Gómez‐Tellado, Manuel Nistal, Manuel Soler, Rafaela Sacristán, Felipe Tovar, J.A. |
| description | : According to International Society for the Study of Vascular Anomalies classification, vascular anomalies are mainly divided into two groups: vascular tumors and vascular malformations. Nevertheless, a small group of patients present clinical and/or histopathologic overlapping features. We report a case of a 4‐month‐old boy that presented a vascular lesion on his right buttock with involvement of abdominal wall muscles, abdominal cavity and drainage to primitive iliac by a tortuous drainage vein. Surgery was performed and histopathology demonstrated a combined vascular malformation. Six months later he developed a thrombocytopenia and repeat magnetic resonance imaging revealed a new solid mass involving the majority of the abdominal cavity. At 18 months of age the patient developed a Kasabach‐Merrit phenomenon and treatment with vincristine, interferon and then acetyl‐salicilic acid and dypiridamol was started. No response in platelet counts was obtained and one more surgery was perfomed. On this occasion a histopathologic study revealed vascular malformation areas intermingled with areas of kaposiform hemangioendothelioma. This patient demonstrates the Kasabach‐Merritt phenomenon with kaposiform hemangioendothelioma arising within a pre‐existing combined vascular malformation. |
| doi_str_mv | 10.1111/j.1525-1470.2010.01089.x |
| format | Article |
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Nevertheless, a small group of patients present clinical and/or histopathologic overlapping features. We report a case of a 4‐month‐old boy that presented a vascular lesion on his right buttock with involvement of abdominal wall muscles, abdominal cavity and drainage to primitive iliac by a tortuous drainage vein. Surgery was performed and histopathology demonstrated a combined vascular malformation. Six months later he developed a thrombocytopenia and repeat magnetic resonance imaging revealed a new solid mass involving the majority of the abdominal cavity. At 18 months of age the patient developed a Kasabach‐Merrit phenomenon and treatment with vincristine, interferon and then acetyl‐salicilic acid and dypiridamol was started. No response in platelet counts was obtained and one more surgery was perfomed. On this occasion a histopathologic study revealed vascular malformation areas intermingled with areas of kaposiform hemangioendothelioma. This patient demonstrates the Kasabach‐Merritt phenomenon with kaposiform hemangioendothelioma arising within a pre‐existing combined vascular malformation.</description><identifier>ISSN: 0736-8046</identifier><identifier>EISSN: 1525-1470</identifier><identifier>DOI: 10.1111/j.1525-1470.2010.01089.x</identifier><identifier>PMID: 20403115</identifier><identifier>CODEN: PEDRDQ</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Abdominal Cavity - surgery ; Antineoplastic Agents - therapeutic use ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Aspirin - therapeutic use ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Dermatology ; Dipyridamole - therapeutic use ; Diseases of the lymphatic vessels ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Hemangioendothelioma - diagnosis ; Hemangioendothelioma - drug therapy ; Hemangioendothelioma - surgery ; Hereditary diseases of the skin. Congenital diseases of the skin. Haemangioma of the skin, of mucosae and of soft tissue ; Humans ; Infant ; Interferons - therapeutic use ; Kasabach-Merritt Syndrome - diagnosis ; Kasabach-Merritt Syndrome - drug therapy ; Kasabach-Merritt Syndrome - surgery ; Lymphatic Vessels - abnormalities ; Lymphatic Vessels - drug effects ; Lymphatic Vessels - pathology ; Lymphatic Vessels - surgery ; Male ; Medical sciences ; Sarcoma, Kaposi - diagnosis ; Sarcoma, Kaposi - drug therapy ; Sarcoma, Kaposi - surgery ; Thrombocytopenia - diagnosis ; Thrombocytopenia - drug therapy ; Treatment Outcome ; Vascular Neoplasms - diagnosis ; Vascular Neoplasms - drug therapy ; Vascular Neoplasms - surgery ; Vincristine - therapeutic use</subject><ispartof>Pediatric dermatology, 2011-07, Vol.28 (4), p.439-443</ispartof><rights>2010 Wiley Periodicals, Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3989-790d58a79b6caa31b7a90ee4ebbc4f11672b6c5c003caa46778fab9b3d524ae53</citedby><cites>FETCH-LOGICAL-c3989-790d58a79b6caa31b7a90ee4ebbc4f11672b6c5c003caa46778fab9b3d524ae53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1525-1470.2010.01089.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1525-1470.2010.01089.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24387991$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20403115$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>del Pozo, Jesús</creatorcontrib><creatorcontrib>López‐Gutiérrez, Juan Carlos</creatorcontrib><creatorcontrib>Gómez‐Tellado, Manuel</creatorcontrib><creatorcontrib>Nistal, Manuel</creatorcontrib><creatorcontrib>Soler, Rafaela</creatorcontrib><creatorcontrib>Sacristán, Felipe</creatorcontrib><creatorcontrib>Tovar, J.A.</creatorcontrib><title>Capillary‐Lymphatic Malformation, Kaposiform Hemangioendothelioma and Delayed Kasabach‐Merritt Phenomenon</title><title>Pediatric dermatology</title><addtitle>Pediatr Dermatol</addtitle><description>: According to International Society for the Study of Vascular Anomalies classification, vascular anomalies are mainly divided into two groups: vascular tumors and vascular malformations. Nevertheless, a small group of patients present clinical and/or histopathologic overlapping features. We report a case of a 4‐month‐old boy that presented a vascular lesion on his right buttock with involvement of abdominal wall muscles, abdominal cavity and drainage to primitive iliac by a tortuous drainage vein. Surgery was performed and histopathology demonstrated a combined vascular malformation. Six months later he developed a thrombocytopenia and repeat magnetic resonance imaging revealed a new solid mass involving the majority of the abdominal cavity. At 18 months of age the patient developed a Kasabach‐Merrit phenomenon and treatment with vincristine, interferon and then acetyl‐salicilic acid and dypiridamol was started. No response in platelet counts was obtained and one more surgery was perfomed. On this occasion a histopathologic study revealed vascular malformation areas intermingled with areas of kaposiform hemangioendothelioma. This patient demonstrates the Kasabach‐Merritt phenomenon with kaposiform hemangioendothelioma arising within a pre‐existing combined vascular malformation.</description><subject>Abdominal Cavity - surgery</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Aspirin - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Dermatology</subject><subject>Dipyridamole - therapeutic use</subject><subject>Diseases of the lymphatic vessels</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Hemangioendothelioma - diagnosis</subject><subject>Hemangioendothelioma - drug therapy</subject><subject>Hemangioendothelioma - surgery</subject><subject>Hereditary diseases of the skin. Congenital diseases of the skin. Haemangioma of the skin, of mucosae and of soft tissue</subject><subject>Humans</subject><subject>Infant</subject><subject>Interferons - therapeutic use</subject><subject>Kasabach-Merritt Syndrome - diagnosis</subject><subject>Kasabach-Merritt Syndrome - drug therapy</subject><subject>Kasabach-Merritt Syndrome - surgery</subject><subject>Lymphatic Vessels - abnormalities</subject><subject>Lymphatic Vessels - drug effects</subject><subject>Lymphatic Vessels - pathology</subject><subject>Lymphatic Vessels - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Sarcoma, Kaposi - diagnosis</subject><subject>Sarcoma, Kaposi - drug therapy</subject><subject>Sarcoma, Kaposi - surgery</subject><subject>Thrombocytopenia - diagnosis</subject><subject>Thrombocytopenia - drug therapy</subject><subject>Treatment Outcome</subject><subject>Vascular Neoplasms - diagnosis</subject><subject>Vascular Neoplasms - drug therapy</subject><subject>Vascular Neoplasms - surgery</subject><subject>Vincristine - therapeutic use</subject><issn>0736-8046</issn><issn>1525-1470</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMFu1DAQQC1ERbeFX0C5IC5ka8dx7Bw4oG1LUbeiBzhbE2fCehXHwc6K7o1P4Bv5Ehx2W65YGnnkeTO2HyEZo0uW1sV2yUQhclZKuixoOk2h6uXDM7J4KjwnCyp5lStaVqfkLMYtpVRVFXtBTgtaUs6YWBC3gtH2PYT975-_1ns3bmCyJruDvvPBpdwP77JbGH2080F2gw6Gb9bj0Pppg731DjIY2uwSe9hjm9gIDZhNGneHIdhpyu43OHiXYnhJTjroI7467ufk6_XVl9VNvv788dPqwzo3vFZ1LmvaCgWybioDwFkjoaaIJTaNKTvGKlmkijCU8lQvKylVB03d8FYUJaDg5-TtYe4Y_Pcdxkk7Gw2mfw7od1ErRRmXQshEqgNpgo8xYKfHYF3SoRnVs2u91bNSPSvVs2v917V-SK2vj5fsGoftU-Oj3AS8OQIQTRIaYDA2_uNKrmRds8S9P3A_bI_7_36Avr-8mjP-B7ecniI</recordid><startdate>201107</startdate><enddate>201107</enddate><creator>del Pozo, Jesús</creator><creator>López‐Gutiérrez, Juan Carlos</creator><creator>Gómez‐Tellado, Manuel</creator><creator>Nistal, Manuel</creator><creator>Soler, Rafaela</creator><creator>Sacristán, Felipe</creator><creator>Tovar, J.A.</creator><general>Blackwell Publishing Ltd</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201107</creationdate><title>Capillary‐Lymphatic Malformation, Kaposiform Hemangioendothelioma and Delayed Kasabach‐Merritt Phenomenon</title><author>del Pozo, Jesús ; López‐Gutiérrez, Juan Carlos ; Gómez‐Tellado, Manuel ; Nistal, Manuel ; Soler, Rafaela ; Sacristán, Felipe ; Tovar, J.A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3989-790d58a79b6caa31b7a90ee4ebbc4f11672b6c5c003caa46778fab9b3d524ae53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Abdominal Cavity - surgery</topic><topic>Antineoplastic Agents - therapeutic use</topic><topic>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</topic><topic>Aspirin - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Dermatology</topic><topic>Dipyridamole - therapeutic use</topic><topic>Diseases of the lymphatic vessels</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Hemangioendothelioma - diagnosis</topic><topic>Hemangioendothelioma - drug therapy</topic><topic>Hemangioendothelioma - surgery</topic><topic>Hereditary diseases of the skin. Congenital diseases of the skin. Haemangioma of the skin, of mucosae and of soft tissue</topic><topic>Humans</topic><topic>Infant</topic><topic>Interferons - therapeutic use</topic><topic>Kasabach-Merritt Syndrome - diagnosis</topic><topic>Kasabach-Merritt Syndrome - drug therapy</topic><topic>Kasabach-Merritt Syndrome - surgery</topic><topic>Lymphatic Vessels - abnormalities</topic><topic>Lymphatic Vessels - drug effects</topic><topic>Lymphatic Vessels - pathology</topic><topic>Lymphatic Vessels - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Sarcoma, Kaposi - diagnosis</topic><topic>Sarcoma, Kaposi - drug therapy</topic><topic>Sarcoma, Kaposi - surgery</topic><topic>Thrombocytopenia - diagnosis</topic><topic>Thrombocytopenia - drug therapy</topic><topic>Treatment Outcome</topic><topic>Vascular Neoplasms - diagnosis</topic><topic>Vascular Neoplasms - drug therapy</topic><topic>Vascular Neoplasms - surgery</topic><topic>Vincristine - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>del Pozo, Jesús</creatorcontrib><creatorcontrib>López‐Gutiérrez, Juan Carlos</creatorcontrib><creatorcontrib>Gómez‐Tellado, Manuel</creatorcontrib><creatorcontrib>Nistal, Manuel</creatorcontrib><creatorcontrib>Soler, Rafaela</creatorcontrib><creatorcontrib>Sacristán, Felipe</creatorcontrib><creatorcontrib>Tovar, J.A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>del Pozo, Jesús</au><au>López‐Gutiérrez, Juan Carlos</au><au>Gómez‐Tellado, Manuel</au><au>Nistal, Manuel</au><au>Soler, Rafaela</au><au>Sacristán, Felipe</au><au>Tovar, J.A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Capillary‐Lymphatic Malformation, Kaposiform Hemangioendothelioma and Delayed Kasabach‐Merritt Phenomenon</atitle><jtitle>Pediatric dermatology</jtitle><addtitle>Pediatr Dermatol</addtitle><date>2011-07</date><risdate>2011</risdate><volume>28</volume><issue>4</issue><spage>439</spage><epage>443</epage><pages>439-443</pages><issn>0736-8046</issn><eissn>1525-1470</eissn><coden>PEDRDQ</coden><abstract>: According to International Society for the Study of Vascular Anomalies classification, vascular anomalies are mainly divided into two groups: vascular tumors and vascular malformations. Nevertheless, a small group of patients present clinical and/or histopathologic overlapping features. We report a case of a 4‐month‐old boy that presented a vascular lesion on his right buttock with involvement of abdominal wall muscles, abdominal cavity and drainage to primitive iliac by a tortuous drainage vein. Surgery was performed and histopathology demonstrated a combined vascular malformation. Six months later he developed a thrombocytopenia and repeat magnetic resonance imaging revealed a new solid mass involving the majority of the abdominal cavity. At 18 months of age the patient developed a Kasabach‐Merrit phenomenon and treatment with vincristine, interferon and then acetyl‐salicilic acid and dypiridamol was started. No response in platelet counts was obtained and one more surgery was perfomed. On this occasion a histopathologic study revealed vascular malformation areas intermingled with areas of kaposiform hemangioendothelioma. This patient demonstrates the Kasabach‐Merritt phenomenon with kaposiform hemangioendothelioma arising within a pre‐existing combined vascular malformation.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20403115</pmid><doi>10.1111/j.1525-1470.2010.01089.x</doi><tpages>5</tpages></addata></record> |
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| ispartof | Pediatric dermatology, 2011-07, Vol.28 (4), p.439-443 |
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| subjects | Abdominal Cavity - surgery Antineoplastic Agents - therapeutic use Antineoplastic Combined Chemotherapy Protocols - therapeutic use Aspirin - therapeutic use Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Dermatology Dipyridamole - therapeutic use Diseases of the lymphatic vessels Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Hemangioendothelioma - diagnosis Hemangioendothelioma - drug therapy Hemangioendothelioma - surgery Hereditary diseases of the skin. Congenital diseases of the skin. Haemangioma of the skin, of mucosae and of soft tissue Humans Infant Interferons - therapeutic use Kasabach-Merritt Syndrome - diagnosis Kasabach-Merritt Syndrome - drug therapy Kasabach-Merritt Syndrome - surgery Lymphatic Vessels - abnormalities Lymphatic Vessels - drug effects Lymphatic Vessels - pathology Lymphatic Vessels - surgery Male Medical sciences Sarcoma, Kaposi - diagnosis Sarcoma, Kaposi - drug therapy Sarcoma, Kaposi - surgery Thrombocytopenia - diagnosis Thrombocytopenia - drug therapy Treatment Outcome Vascular Neoplasms - diagnosis Vascular Neoplasms - drug therapy Vascular Neoplasms - surgery Vincristine - therapeutic use |
| title | Capillary‐Lymphatic Malformation, Kaposiform Hemangioendothelioma and Delayed Kasabach‐Merritt Phenomenon |
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