These malformations can be mistaken for “varicose veins”. However, they are present since birth and are unilateral affecting a single limb, arm and a leg on the same side of the body.
Klippel Trenaunay Syndrome presents as a combination of capillary, venous and lymphatic malformations. Patients present with a discreopency in limb length and one leg is usually longer and wider than the other leg. There is usually a capillary malformation present in association with a large vein on the side of the affected leg. Blood clots may develop within the veins and skin changes follow just above the lateral ankle. These may include pigmentation,dermatitis, skin and fat hardening (lipodermatosclerosis) and leg ulcers. Children with Klippetl Trenaunay syndrome should be reviewed by an orthopaedic surgeon and physiotherpists to monitor the change in the leg length. Scoliosis and other spinal probolems might happen.Compression stockings are quite important in preventing the progression of this condition.
At Sydney Skin and Vein Clinic we can help patients with this condition with endovenous laser ablation and foamultrasound guided sclerotherapy.
Parkes Weber Syndrome is similar to Klippel Trenaunay syndrome with the addition of an arteriovenous malformation.
Vascular Malformation Investigations
