Vascular Malformations Flashcards

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1
Q

What is Adams Oliver syndrome

A
ACAST
Autosomal dominant 
CMTC and cardiac, CM (reticulated)
Aplasia cutis
Skull defects
Transverse limb defects
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2
Q

Sturge weber is caused by autosomal recessive mutations in GNAQ

A

False - somatic mutations

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3
Q

Genetic disorders that can co exist with naevus simplex

A

Beckwith-Weidemann syndrome (dysmorphic facies, protruding tongue, posterior helical ear pits, Wilms’ rhabdomyosarcoma)
Rubinstein-Taybi
Macrocephaly CM syndrome

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4
Q

What are ocular complications of Sturge Weber

A

Glaucoma most common,

Also choroidal haemorrhage and retinal detachment

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5
Q

Port wine stain complications

A
Open bite deformity
Enlarged gum and lips (epulides)
Gingival bleeding
Macrocheilia and lip incompetence
Eczematous dermatitis has a predilection for PWS , like naevus simplex
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6
Q

CMTC 5% have limb hypoplasia

A

False 50%

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7
Q

Port wine stain changes from violet to pink in maturity

A

False other way around

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8
Q

What is the Klippel Trenaunay Syndrome triad?

A

Port wine stain
Anomalies veins
Limb hypertrophy

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9
Q

Klippel Trenaunay due to AKT1 mutations

A

False = PIC3CA, AKT1 is proteus

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10
Q

Complications of capillary malformations with associated overgrowth

A
Cellulitis
Limb length discrepancy
DVT, VTE
PE
Pulmonary HTN
Lymphoedema complications —> infection, immobility , pain, eczema , SCC, Stewart-Treves syndrome - lymphangiosarcoma
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11
Q

What is CLAPO

A

CM of lower lip
LM of tongue and neck
Assymtry and partial overgrowth of face and extremities

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12
Q

Proteus Syndrome features

A

Progressive worsening with time, Palmoplantar collagenoma
Regional lypohypoplaslia
Ovarian cyst adenomas
Testicular tumours
Epidermal Naevi
Vascular malformations - capillary, venous and lymphatic
SYNDROMIC facies - anteverted nares, ptosis, depressed nasal bridges

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13
Q

What is CLOVES syndrome

A
Congenital 
Lipomatosis
Overgrowth
Vascular anomalies
Epidermal Naevi
Scoliosis/Skeletal anomalies
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14
Q

HHT gene mutations

A

HHT1 and HHT2: Endolin and ALK1

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15
Q

Blue rubber bleb naevus syndrome

A

TEK mutations

GI bleeding, Fe deficiency anaemia

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16
Q

MAFFUCCI syndrome gene mutation

A

IDH1 — cutaneous nodules with features of VM and vascular tumour, the spindle cell haemangioma
—> present as blue to skin coloured nodules and enchondromas , similar to Ollie disease
- can have neuro-ophthalmic complications