[Giant multifocal venous malformation with monomelic predominance].
BACKGROUND
Venous malformations are usually easy to recognise. We describe one case in which the clinical aspect was suggestive of Maffucci's syndrome.


METHODS
A 44-year-old male, had numerous angiomatous nodules which could be emptied by pressure since infancy. The progressive increase in volume of these lesions on the arms and forearms led to enormous deformation and major disability. The thoracic area and the right foot were also affected to a lesser degree. Two endobuccal lesions were also found on the clinical examination The cutaneous lesions were tender and occasionally hyperhidrosis was present. The presence of phleboliths on Xray and the presence of venous and capillary cavities with numerous thrombi confirmed the diagnosis of venous malformation. Following the failure of the Ethibloc(R) embolization, eight excisions were made in a two-year-period with a good functional result. Elastic strapping was then applied.


CONCLUSIONS
The diagnosis of venous malformation was based on clinical, radiological and histological findings. The absence of chondroma excluded the diagnosis of Maffucci's syndrome. Spindle cell hemangioendothelioma, "blue rubber bleb nevus" and glomangiomatosis were confirmed by the histological findings. The absence of port-wine stain or bone hypertrophy and the presence of multiple nodules excluded Klippel-Trenaunay syndrome. The presence of multifocal involvement with oral lesions, the severity of the deformation and the relative success of the surgical procedure make this case unusual.
Langella
C
C
Service de Dermatologie A, Hôpital Claude-Huriez, Hôpital Cardiologique, CHRU, 59037 Lille Cedex.
Delaporte
E
E
Beregi
J P
JP
Patenotre
P
P
Breviere
G M
GM
Piette
F
F
D000328:Adult; D001165:Arteriovenous Malformations / Q000473:pathology* / Q000628:therapy; D006801:Humans; D008297:Male; D012871:Skin Diseases / Q000473:pathology* / Q000628:therapy