[Ulcers associated with arteriovenous fistula within a Stewart-Bluefarb syndrome: arterial and/or venous therapy?].
We report on a 46-year old female patient with a 2-year history of ulceration over the dorsum of her right foot associated with a congenital arteriovenous fistula. About 12 years ago she had an ulcer at the same site. Despite an insufficient occlusion of the arteriovenous fistula after coil-embolization complete healing of the ulcer was achieved for a period of 10 years. At present hyperpigmentation could be seen surrounding the ulcer as a clinical sign for a venous insufficiency. The ulcer healed completely under a conservative therapy of the venous component of the arteriovenous fistula. The pathogenesis and therapy of ulcers associated with arteriovenous fistula within a Stewart-Bluefarb syndrome are discussed in this case report.
Klode
J
J
Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Essen, Germany.
Kröger
K
K
Grabbe
S
S
Dissemond
J
J
D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D005260:Female; D005532:Foot Deformities, Congenital / Q000000981:diagnostic imaging; D005545:Forefoot, Human / Q000098:blood supply*; D006801:Humans; D008875:Middle Aged; D012514:Sarcoma, Kaposi / Q000000981:diagnostic imaging / Q000628:therapy; D012878:Skin Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy; D053828:Stockings, Compression; D013577:Syndrome; D016909:Tibial Arteries / Q000002:abnormalities / Q000000981:diagnostic imaging; D014647:Varicose Ulcer / Q000000981:diagnostic imaging / Q000628:therapy*; D014689:Venous Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy