Parkes Weber syndrome in a neonate: a case report
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Keywords
Neonatology, Neonate, Parkes Weber syndrome, Port-wine stain
Abstract
Parkes Weber syndrome is a rare congenital pathology, whose incidence is 1:100,000 persons; it is manifested by the tetrad that includes vascular malformations, varicose veins, soft tissue-bone tissue overgrowth and port wine stains. The diagnosis is clinical and is confirmed by imaging studies. We present the case of a neonate with port-wine stains in the lower extremities and genitalia, in addition to soft tissue hypertrophy. Doppler examination of the lower extremities showed arteriovenous malformation in both extremities and stasis flow. Angiotomography of lower limbs reported soft tissue hypertrophy and arteriovenous malformation in popliteal vessels and lymphatic vessels. Patient died at 14 days of life due to coagulopathy and septic shock. Management is conservative; life prognosis is usually discouraging due to frequent complications.
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Carlos Avilez-Soto, Universidad Católica de Honduras. Tegucigalpa, Honduras.
Médico en Servicio Social
Leda Zuniga-Alfaro, Hospital Escuela Universitario de la Universidad Nacional Autónoma de Honduras. Tegucigalpa, Honduras.
Médico Residente de Pediatría