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Parkes Weber Syndrome

Parkes Weber Syndrome

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  #1  
● 12-28-2014, 07:59 PM
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Parkes Weber Syndrome

Hypertrophy, with a giant arteriovenous malformation involving her fingers, forearm, elbow, and upper arm in a patient with Parkes Weber Syndrome

A 77-year-old woman was referred for evaluation of fingertip ulcers. She had arteriovenous malformation of the left arm (Panel A) that had been present since childhood.

Physical examination revealed hypertrophy, with a giant arteriovenous malformation involving her fingers, forearm, elbow, and upper arm.

The malformation was pulsatile, with dilated veins and arteries, and a palpable thrill.
Small ulcerations were noted in the fingertips. There was no indication of cardiac failure.

A magnetic resonance angiogram of the elbow, forearm, and hand (Panel B, dorsal view, three-dimensional, maximum-intensity projection) showed enlarged and tortuous arteries and veins, with several sites of aneurysmal dilatation throughout the imaged portion of the limb (Panel B, arrow) and multiple high-flow arteriovenous shunts.

Parkes Weber syndrome consists of venous and capillary malformations and high-flow arteriovenous shunts, with overgrowth of the affected limb.

Most cases are sporadic, although the syndrome may be inherited. Some cases are caused by mutations in RASA1.

The syndrome rarely appears in the arm, particularly with this degree of vascular dilatation, which is presumably the result of lifelong evolution.

It is more common for the legs to be affected. The patient did not want surgical treatment, and the ulcers are being managed with compressive therapy and local wound care.
Parkes Weber Syndrome - 596695d1419846232 parkes weber syndrome nejmicm1312948 f1
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  #2  
● 12-28-2014, 08:05 PM
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Re: Parkes Weber Syndrome

okay, somehow my picture didnt upload with the post, so please go ahead and delete this and ill get it all fixed
  #3  
● 12-28-2014, 08:45 PM
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Re: Parkes Weber Syndrome

chris cleanup on aisle 7!

#Chris, cleanup on aisle 7!

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● 12-28-2014, 09:50 PM
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Re: Parkes Weber Syndrome

chris cleanup on aisle 7!

#Chris, cleanup on aisle 7!

i added it, it just never popped up lol
  #5  
● 12-29-2014, 04:43 AM
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Re: Parkes Weber Syndrome

Here we go:
Parkes Weber Syndrome - nejmicm1312948 f1
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● 12-29-2014, 07:53 AM
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Re: Parkes Weber Syndrome

very fucking nasty
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● 12-29-2014, 07:56 AM
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Re: Parkes Weber Syndrome

Gross
  #8  
● 12-29-2014, 09:33 PM
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Re: Parkes Weber Syndrome

Damn, looks like a condom filled with worms
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  #9  
● 12-30-2014, 02:12 AM
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Re: Parkes Weber Syndrome

Damn, looks like a condom filled with worms
Um...er...oh nevermind.
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● 12-30-2014, 02:33 AM
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Re: Parkes Weber Syndrome

I get a "palpable thrill" every time I come to this site!
Great find
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