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Jung R, Trivedi CM. Congenital Vascular and Lymphatic Diseases. Circ Res 2024; 135:159-173. [PMID: 38900856 PMCID: PMC11192239 DOI: 10.1161/circresaha.124.323181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/22/2024]
Abstract
Over the past several centuries, the integration of contemporary medical techniques and innovative technologies, like genetic sequencing, have played a pivotal role in enhancing our comprehension of congenital vascular and lymphatic disorders. Nonetheless, the uncommon and complex characteristics of these disorders, especially considering their formation during the intrauterine stage, present significant obstacles in diagnosis and treatment. Here, we review the intricacies of these congenital abnormalities, offering an in-depth examination of key diagnostic approaches, genetic factors, and therapeutic methods.
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Affiliation(s)
- Roy Jung
- Division of Cardiovascular Medicine, UMass Chan Medical School, Worcester, MA 01605 USA
- Department of Medicine, UMass Chan Medical School, Worcester, MA 01605 USA
- Translational Science Program, Morningside Graduate School of Biomedical Sciences, UMass Chan Medical School, Worcester, MA 01605 USA
| | - Chinmay M. Trivedi
- Division of Cardiovascular Medicine, UMass Chan Medical School, Worcester, MA 01605 USA
- Department of Medicine, UMass Chan Medical School, Worcester, MA 01605 USA
- Translational Science Program, Morningside Graduate School of Biomedical Sciences, UMass Chan Medical School, Worcester, MA 01605 USA
- Department of Molecular, Cell, and Cancer Biology, UMass Chan Medical School; Worcester, MA 01605 USA
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2
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Shah S, Santos da Cruz NF, Lopez-Font F, Kiryakoza L, Berrocal A. Optical coherence tomography angiography in pediatric ocular cutis marmorata telangiectatica congenita: A case series. Am J Ophthalmol Case Rep 2024; 34:102067. [PMID: 38707950 PMCID: PMC11066999 DOI: 10.1016/j.ajoc.2024.102067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Revised: 03/24/2024] [Accepted: 04/17/2024] [Indexed: 05/07/2024] Open
Abstract
Purpose To report 2 cases of enlarged foveal avascular zone (FAZ) on optical coherence angiography (OCTA) imaging in pediatric patients with cutis marmorata telangiectatica congenita (CMTC). Observations A 10-week-old female and a 3-year-old male diagnosed with CMTC presented for retinal examination. Both had peripheral avascularity on fluorescein angiography (FA) and enlargement of the FAZ on OCTA in both eyes. Conclusions and Importance Pediatric patients with CMTC should undergo ocular evaluation with not only FA, but also OCTA to more robustly evaluate the affected retina in this rare disease.
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Affiliation(s)
- Serena Shah
- Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17 Street, Miami, FL, 33136, USA
| | - Natasha Ferreira Santos da Cruz
- Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17 Street, Miami, FL, 33136, USA
| | - Francisco Lopez-Font
- Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17 Street, Miami, FL, 33136, USA
| | - Lauren Kiryakoza
- Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17 Street, Miami, FL, 33136, USA
| | - Audina Berrocal
- Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17 Street, Miami, FL, 33136, USA
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3
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Belgemen-Ozer T. Persistent Cutis Marmorata Telangiectatica Congenita Associated with Isolated Hemihypertrophy and Edema Attacks. Clin Pediatr (Phila) 2024; 63:617-619. [PMID: 37464812 DOI: 10.1177/00099228231187482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/20/2023]
Affiliation(s)
- Tugba Belgemen-Ozer
- Department of Pediatrics and Pediatric Hematology and Oncology, Istanbul Medeniyet University Goztepe Prof Dr Suleyman Yalcin City Hospital, Istanbul, Turkey
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4
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Hokazono K, Urzedo ABDL, Dias PB, Dias NAL. Retinal abnormalities in a patient with cutis marmorata telangiectatica congenita. BMJ Case Rep 2024; 17:e257810. [PMID: 38719246 PMCID: PMC11085976 DOI: 10.1136/bcr-2023-257810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/13/2024] Open
Abstract
Cutis marmorata telangiectatica congenita is a rare congenital vascular malformation characterised by cutaneous vascular abnormalities, typically diagnosed at birth or in the early postnatal period. Although typically benign, this disease is associated with other systemic abnormalities, including rare ocular alterations, such as congenital glaucoma, cataracts and retinopathy.This manuscript describes a female infant, who presented with generalised livedo reticularis, a band of alopecia and cutaneous atrophy in the temporal region above the coronal suture. The patient was diagnosed with cutis marmorata telangiectatica congenita by a paediatrician, and an ophthalmological evaluation was requested. A funduscopy examination in both eyes showed temporal and superior retina with avascular areas with new vessels, venous dilations and shunts, and no retinal detachments. Given these findings, we performed retinal photocoagulation laser treatment with excellent results.This case report highlights the importance of early ophthalmological evaluation of children with this disease to prevent secondary complications, such as vitreous haemorrhage and tractional retinal detachment.
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Affiliation(s)
- Kenzo Hokazono
- Ophthalmology, Federal University of Parana, Curitiba, Brazil
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5
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Bhari N, Agarwal A, Asritha CVV, Panda M, Mahajan R. Vascular Malformations. Indian Dermatol Online J 2024; 15:415-430. [PMID: 38845674 PMCID: PMC11152494 DOI: 10.4103/idoj.idoj_633_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 12/19/2023] [Accepted: 12/24/2023] [Indexed: 06/09/2024] Open
Abstract
Vascular malformations are intricate anomalies of the circulatory system, presenting a diverse array of clinical manifestations, and posing significant challenges in diagnosis and treatment. The pathogenesis of vascular malformations is explored through the lens of genetic and molecular mechanisms, shedding light on the pivotal role of somatic mutations and dysregulated signaling pathways. Clinical presentations of vascular malformations are widely variable, ranging from cosmetic concerns to life-threatening complications. The utility of imaging techniques, such as magnetic resonance imaging (MRI), computed tomography (CT), and angiography, are discussed in detail, emphasizing their role in precise delineation and characterization. Therapeutic strategies for vascular malformations are multifaceted, considering factors such as lesion size, location, potential complications, and patient-specific factors. Traditional interventions, including surgical excision and embolization, are appraised alongside emerging approaches like targeted molecular therapies and minimally invasive procedures. The manuscript underscores the need for an individualized treatment approach, optimizing outcomes while minimizing risks and complications. In summation, this manuscript offers a comprehensive analysis of vascular malformations, encompassing their underlying pathogenesis, clinical nuances, diagnostic methods, and therapeutic considerations. By synthesizing current knowledge and highlighting gaps in understanding, this review serves as a valuable resource for clinicians, researchers, and medical practitioners, fostering an enhanced comprehension of vascular malformations and paving the way for improved patient care and innovative research endeavors.
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Affiliation(s)
- Neetu Bhari
- Department of Dermatology, All India Institute of Medical Sciences, New Delhi, Delhi, India
| | - Akash Agarwal
- Department of Dermatology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - C. V. V. Asritha
- Department of Dermatology, IMS and SUM Hospital, Bhubaneswar, Odisha, India
| | - Maitreyee Panda
- Department of Dermatology, IMS and SUM Hospital, Bhubaneswar, Odisha, India
| | - Rahul Mahajan
- Department of Dermatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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6
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Portal Buenaga M, Naharro Fernández C, Gómez Dermit V, de Las Cuevas Terán MI. Newborn with cutis marmorata telangiectatica congenita. An Pediatr (Barc) 2024; 100:e16-e17. [PMID: 38582647 DOI: 10.1016/j.anpede.2024.03.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Accepted: 02/15/2022] [Indexed: 04/08/2024] Open
Affiliation(s)
- Marina Portal Buenaga
- Unidad Neonatal, Servicio de Pediatría, Hospital Universitario Marqués de Valdecilla, Santander (Cantabria), Spain.
| | | | - Vanesa Gómez Dermit
- Servicio de Radiodiagnóstico, Hospital Universitario Marqués de Valdecilla, Santander (Cantabria), Spain
| | - M Isabel de Las Cuevas Terán
- Unidad Neonatal, Servicio de Pediatría, Hospital Universitario Marqués de Valdecilla, Santander (Cantabria), Spain; Departamento de Ciencias Médicas y Quirúrgicas, Universidad de Cantabria, Santander (Cantabria), Spain
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7
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Krakowski A, Hoang N, Trost B, Summers J, Ambrozewicz P, Vorstman J. Global developmental delay and a de novo deletion of the 16p13.13 region. BMJ Case Rep 2024; 17:e251521. [PMID: 38423574 PMCID: PMC10910685 DOI: 10.1136/bcr-2022-251521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2024] Open
Abstract
Many rare genetic variants are associated with the risk of atypical neurodevelopmental trajectories. In this study, we report a patient with developmental delay, autistic traits and multiple congenital anomalies, including congenital heart anomalies and orofacial cleft, with a 0.832 Mb de novo deletion of the 16p13.13 region classified as a variant of uncertain significance. Comparison of similar sized deletions and duplications overlapping the same genes in the DECIPHER database, revealed seven reports of copy number variants (CNVs), four duplications and three deletions. A neurodevelopmental phenotype including learning disability and intellectual disability was noted in some of the DECIPHER entries where phenotype was provided. Although the association between a deletion in this region and an atypical neurodevelopmental trajectory remains to be elucidated, the overlapping CNVs with neurodevelopmental phenotypes suggests possible candidate genes within the 16p13.13 region.
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Affiliation(s)
- Aneta Krakowski
- Department of Psychiatry, Hospital for Sick Children, Toronto, Ontario, Canada
- Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
| | - Ny Hoang
- Department of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada
- Department of Genetic Counselling, The Hospital for Sick Children, Toronto, Ontario, Canada
- Genetics and Genome Biology, Hospital for Sick Children, Toronto, Ontario, Canada
- Autism Research Unit, Hospital For Sick Children, Toronto, Ontario, Canada
| | - Brett Trost
- Genetics and Genome Biology, Hospital for Sick Children, Toronto, Ontario, Canada
- Molecular Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - Jane Summers
- Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
- Genetics and Genome Biology, Hospital for Sick Children, Toronto, Ontario, Canada
- Autism Research Unit, Hospital For Sick Children, Toronto, Ontario, Canada
| | - Patricia Ambrozewicz
- Genetics and Genome Biology, Hospital for Sick Children, Toronto, Ontario, Canada
- Autism Research Unit, Hospital For Sick Children, Toronto, Ontario, Canada
| | - Jacob Vorstman
- Department of Psychiatry, Hospital for Sick Children, Toronto, Ontario, Canada
- Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
- Genetics and Genome Biology, Hospital for Sick Children, Toronto, Ontario, Canada
- Autism Research Unit, Hospital For Sick Children, Toronto, Ontario, Canada
- The Centre for Applied Genomics, Hospital for Sick Children, Toronto, Ontario, Canada
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8
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Kakiuchi T, Yoshiura M. Dark Red Reticulated Cutaneous Vascular Network on the Lower Limb. Indian J Pediatr 2024; 91:194. [PMID: 37221288 DOI: 10.1007/s12098-023-04680-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 05/11/2023] [Indexed: 05/25/2023]
Affiliation(s)
- Toshihiko Kakiuchi
- Department of Pediatrics, Faculty of Medicine, Saga University, 5-1-1, Nabeshima, Saga, 849-8501, Japan.
| | - Masato Yoshiura
- Department of Pediatrics, Faculty of Medicine, Saga University, 5-1-1, Nabeshima, Saga, 849-8501, Japan
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9
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Friedman CD, DeBrosse S, Mitchell A, Horn J, Merrill M. Case Report: 2-Year-old With Wilms Tumors, Familial Heterozygous DIS3L2 Mutation, and Cutis Marmorata Telangiectatica Congenita. J Pediatr Hematol Oncol 2023; 45:e128-e130. [PMID: 35700413 PMCID: PMC9809993 DOI: 10.1097/mph.0000000000002498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 05/16/2022] [Indexed: 02/03/2023]
Abstract
Biallelic variants in DI3SL2 cause Perlman Syndrome, associated increased risk for Wilms tumor. Cutis Marmorata Telangiectatica Congenita (CMTC) is a rare congenital disorder characterized by cutaneous vascular anomalies. We report a 2-year-old boy with both Wilms tumor and CMTC. Genetic testing, prompted by his complex presentation, revealed 1 somatic mutation and 1 familial germline mutation in the DIS3L2 gene, suggesting a 2-hit causation of Wilms tumor. Separately, a single GNA11 somatic mutation was identified to explain the CMTC. We suggest that genetic testing for germline mutations associated with Wilms tumor susceptibility be considered even in cases without known family history.
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Affiliation(s)
| | | | - Anna Mitchell
- Center for Human Genetics, University Hospitals, Cleveland, OH
| | - Joanna Horn
- Center for Human Genetics, University Hospitals, Cleveland, OH
| | - Michelle Merrill
- Department of Genetics and Genome Sciences, Case Western Reserve University
- Center for Human Genetics, University Hospitals, Cleveland, OH
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10
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Yang Y, Xiao J, Ye Y, Xiang J, Wang Z, Chen J. Case report: A preterm infant with rubinstein-taybi syndrome and Marmorata telangiectatica harboring a frameshift mutation in the CREBBP gene. Front Pediatr 2023; 11:1059658. [PMID: 36937962 PMCID: PMC10022664 DOI: 10.3389/fped.2023.1059658] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Accepted: 01/16/2023] [Indexed: 03/06/2023] Open
Abstract
Rubinstein-Taybi syndrome (RSTS) is a rare autosomal dominantly inherited disease characterized by slow mental and physical growth, skeletal abnormalities (broad thumbs and big toes), and dysmorphic facial features. RSTS is associated with de novo variants of the epigenetic-associated gene CREBBP. RSTS is primarily diagnosed based on clinical manifestations and genetic testing. Cutis marmorata telangiectatica congenita (CMTC) is a rare, congenital, and typically benign vascular anomaly of unknown etiology; it is described as persistent reticulated marbled erythema. The diagnosis of CMTC is largely based on clinical features, and GNA11 mutations are associated with CMTC. In this case report, we describe the case of a preterm infant (boy) with RSTS and CMTC who had a novel frameshift mutation leading to a premature stop codon in the CREBBP gene. This study adds the novel mutation c.5837dupC to the known molecular spectrum of disease-causing CREBBP gene mutations.
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11
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Comparison of pre- and postnatally diagnosed coronary artery fistulae: Echocardiographic features and clinical outcomes. J Am Soc Echocardiogr 2022; 35:1322-1335. [DOI: 10.1016/j.echo.2022.07.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 07/19/2022] [Accepted: 07/20/2022] [Indexed: 11/17/2022]
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12
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Cutis marmorata telangiectatica congenita being caused by postzygotic GNA11 mutations. Eur J Med Genet 2022; 65:104472. [DOI: 10.1016/j.ejmg.2022.104472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2021] [Revised: 02/11/2022] [Accepted: 02/25/2022] [Indexed: 11/19/2022]
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13
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Portal Buenaga M, Naharro Fernández C, Gómez Dermit V, de las Cuevas Terán MI. Recién nacido con cutis marmorata telangiectásica congénita. An Pediatr (Barc) 2022. [DOI: 10.1016/j.anpedi.2022.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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14
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Henning A, Weaver J, Nguyen NV. Reticulated Rash on the Bilateral Lower Extremities in an 11-year-old Girl. Pediatr Rev 2022; 43:e6-e8. [PMID: 35102406 DOI: 10.1542/pir.2020-0104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Ania Henning
- Department of Pathology and Laboratory Medicine, Summa Health System-Akron Campus, Akron, OH
| | - Joshua Weaver
- Department of Pathology and Laboratory Medicine, Summa Health System-Akron Campus, Akron, OH
| | - Nicholas V Nguyen
- Department of Pediatric Dermatology, Akron Children's Hospital, Akron, OH
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15
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Selvan H, Gupta S, Wiggs JL, Gupta V. Juvenile-onset open-angle glaucoma - A clinical and genetic update. Surv Ophthalmol 2022; 67:1099-1117. [PMID: 34536459 PMCID: PMC9192165 DOI: 10.1016/j.survophthal.2021.09.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Revised: 09/06/2021] [Accepted: 09/13/2021] [Indexed: 01/03/2023]
Abstract
Juvenile-onset open-angle glaucoma (JOAG) is a subset of primary open-angle glaucoma that is diagnosed before 40 years of age. The disease may be familial or non-familial, with proportions varying among different populations. Myocilin mutations are the most commonly associated. JOAG is characterized by high intraocular pressures (IOP), with many patients needing surgery. The mean age at diagnosis is in the 3rd decade, with a male preponderance. Myopia is a common association. The pathophysiology underlying the disease is immaturity of the conventional outflow pathways, which may or may not be observed on gonioscopy and anterior segment optical coherence tomography. The unique optic nerve head features include large discs with deep, steep cupping associated with high IOP-induced damage. Progression rates among JOAG patients are comparable to adult primary glaucomas, but as the disease affects younger patients, the projected disability from this disease is higher. Early diagnosis, prompt management, and life-long monitoring play an important role in preventing disease progression. Gene-based therapies currently under investigation offer future hope.
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Affiliation(s)
- Harathy Selvan
- Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
| | - Shikha Gupta
- Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
| | - Janey L. Wiggs
- Ocular Genomics Institute, Massachusetts Eye and Ear, Boston, MA, USA,Department of Ophthalmology, Harvard Medical School, MA, USA
| | - Viney Gupta
- Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India,Corresponding author: Viney Gupta, MD, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, 110029 India. (V. Gupta)
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16
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Null E, Clarey D, Warrack S. Diffuse Reticulated Rash in a Newborn. Pediatr Rev 2021; 42:151-154. [PMID: 34470897 DOI: 10.1542/pir.2019-0266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Elizabeth Null
- Department of Pediatrics.,Department of Dermatology, University of Nebraska Medical Center, Omaha, NE
| | - Dillon Clarey
- Department of Pediatrics.,Department of Dermatology, University of Nebraska Medical Center, Omaha, NE
| | - Simone Warrack
- Department of Pediatrics.,Department of Dermatology, University of Nebraska Medical Center, Omaha, NE
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17
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Torchia D. Phacomatosis spilorosea versus phacomatosis melanorosea: a critical reappraisal of the worldwide literature with updated classification of phacomatosis pigmentovascularis. ACTA DERMATOVENEROLOGICA ALPINA PANNONICA ET ADRIATICA 2021. [DOI: 10.15570/actaapa.2021.6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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18
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Khambati N, Reading J, Osborn S, Bucke D, Dutta A. Cutis marmorata telangiectatica congenita. Arch Dis Child Fetal Neonatal Ed 2021; 106:75. [PMID: 32631847 DOI: 10.1136/archdischild-2020-319612] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 06/05/2020] [Indexed: 11/04/2022]
Affiliation(s)
- Nisreen Khambati
- Paediatrics, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, UK .,Paediatrics, University of Oxford, Oxford, UK
| | - Jacob Reading
- Paediatrics, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, UK
| | - Sian Osborn
- Paediatrics, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, UK
| | - Danielle Bucke
- Paediatrics, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, UK
| | - Atanu Dutta
- Paediatrics, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, UK
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19
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Retinal manifestations of the neurocutaneous disorders. Curr Opin Ophthalmol 2020; 31:549-562. [PMID: 33009088 DOI: 10.1097/icu.0000000000000712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
PURPOSE OF REVIEW The neurocutaneous disorders are a genetically and phenotypically diverse group of congenital syndromes characterized by cutaneous, ocular, and central nervous system manifestations. This review provides an overview of the clinical features and retinal findings in selected neurocutaneous disorders. RECENT FINDINGS Advances in genetics and diagnostic retinal and neuroimaging allow for the recognition of retinal features of common neurocutaneous syndromes and for improved characterization of rarer entities based on previously underdiagnosed or unrecognized retinal findings. SUMMARY Better characterization of the neurocutaneous disorders allows for earlier recognition and the potential for expeditious vision-saving and life-saving treatment.
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20
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MacGibeny MA, John AM, Milgraum DM, Wassef C, Milgraum SS. Early cutis marmorata telangiectatica congenita masquerading as ulcerated retiform purpura: a diagnostic trap. Pediatr Dermatol 2020; 37:979-980. [PMID: 32749028 DOI: 10.1111/pde.14293] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
Cutis marmorata telangiectatica congenita (CMTC) is a rare congenital cutaneous vascular anomaly with a reticular marbled erythematous pattern, which can result in isolated benign skin lesions or less commonly be associated with systemic anomalies. Occasionally, the characteristic pattern of CMTC lesions is masked on initial presentation, creating a diagnostic conundrum that can result in unnecessary workups to rule out vasculopathy. We present the case of a female newborn with a red-blue ulcerated skin lesion on the right leg and foot, which initially appeared as retiform purpura but evolved to exhibit the mottled pattern of CMTC by 5 days of age. Clinicians must be made aware of this potential diagnostic trap in early CMTC to avoid invasive skin biopsies and unnecessary laboratory testing in neonates.
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Affiliation(s)
| | - Ann M John
- Department of Dermatology, Rutgers Robert Wood Johnson Medical School, Somerset, NJ, USA
| | - David M Milgraum
- Department of Dermatology, Rutgers Robert Wood Johnson Medical School, Somerset, NJ, USA
| | - Cindy Wassef
- Department of Dermatology, Rutgers Robert Wood Johnson Medical School, Somerset, NJ, USA
| | - Sandy S Milgraum
- Department of Dermatology, Rutgers Robert Wood Johnson Medical School, Somerset, NJ, USA
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21
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Cardis MA, Silverman RA. A Plum-Colored Reticular Birthmark in a Neonate. J Pediatr 2020; 221:256-257. [PMID: 32171557 DOI: 10.1016/j.jpeds.2020.02.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2020] [Revised: 02/11/2020] [Accepted: 02/11/2020] [Indexed: 10/24/2022]
Affiliation(s)
| | - Robert A Silverman
- Department of Pediatrics; Medstar Washington Hospital Center/Georgetown University Hospital, Washington, District of Columbia
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