Phakomatosis pigmentovascularis type IIB in association with external hydrocephalus

Phakomatosis pigmentovascularis (PPV) is a rare sporadic genetic disorder characterised by co-occurrence of an extensive vascular nevus and a large pigmentary nevus with or without extracutaneous manifestations. There are four types of PPV with subtype ‘a’ for cutaneous involvement only and subtype...

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Veröffentlicht in:BMJ case reports 2012-06, Vol.2012 (jun22 1), p.bcr1220115432-bcr1220115432
Hauptverfasser: Okunola, Peter, Ofovwe, Gabriel, Abiodun, Moses, Isah, Abiodun, Ikubor, Joyce
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container_issue jun22 1
container_start_page bcr1220115432
container_title BMJ case reports
container_volume 2012
creator Okunola, Peter
Ofovwe, Gabriel
Abiodun, Moses
Isah, Abiodun
Ikubor, Joyce
description Phakomatosis pigmentovascularis (PPV) is a rare sporadic genetic disorder characterised by co-occurrence of an extensive vascular nevus and a large pigmentary nevus with or without extracutaneous manifestations. There are four types of PPV with subtype ‘a’ for cutaneous involvement only and subtype ‘b’ for cutaneous and systemic involvement. PPV type IIa consists of nevus flammeus, Mongolian spots and sometimes nevus anemicus. Prognosis depends on associated systemic disorders. Two independent cases of PPV type IIb presented with nevus flammeus, aberrant Mongolian spots, ocular and central nervous system anomalies. Case 1 had external hydrocephalus previously unreported in PPV while case 2 had hydrocephalus exvacuo. Both patients had seizure disorder and neurodevelopmental delay. They were on long-term neurologic and ophthalmologic management while their cutaneous lesions partially regressed. PPV affects all racial and ethnic groups. The occurrence of external hydrocephalus in PPV expands the spectrum of its systemic manifestations.
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subjects 12 Months
Africa
Age
Black
Calcification
Defects
Female
Glaucoma
Humans
Hydrocephalus - complications
Hydrocephalus - diagnostic imaging
Infant
Infant, Newborn
Male
Medical imaging
Megalencephaly - complications
Mongolian Spot - complications
Neurocutaneous Syndromes - complications
Patients
Pigmentation Disorders - complications
Port-Wine Stain - complications
Radiography
Rare Disease
Seizures - complications
title Phakomatosis pigmentovascularis type IIB in association with external hydrocephalus
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