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Treatment of sirolimus in the pathological femoral fracture related to blue rubber bleb nevus syndrome: A case report

Treatment of sirolimus in the pathological femoral fracture related to blue rubber bleb nevus syndrome: A case report

Authors :
Yu-Jui, Chang
Jih-Yang, Ko
Jiunn-Ming, Sheen
Ka-Kit, Siu
Source :
Medicine. 101:e29679
Publication Year :
2022
Publisher :
Ovid Technologies (Wolters Kluwer Health), 2022.

Abstract

Blue rubber bleb nevus syndrome (BRBNS) is a rare condition with characteristic vascular malformations of the skin, most frequently lesions of the gastrointestinal tract and central nervous system, and less often, the musculoskeletal system. We report a 5-year case of BRBNS complicated with pathological femoral fracture that was successfully treated with sirolimus.We report the case of a 1-week-old girl with a diagnosis of BRBNS who had multiple venous malformations over her body. She also presented with right lower-limb swelling and complicated with a pathological femoral fracture.BRBNS with the complication of pathological femoral fracture.Treatment with low-dose sirolimus as an antiangiogenic agent was administered, combined with hip spica protection.The vascular lesion was reduced after about 6 months and the fracture site had healed around 2.5 years after initiation of sirolimus therapy. There were no drug adverse effects at the 5-year follow-up point. The patient showed excellent spirit and no obvious sequelae were found.To the best of our knowledge, this is the first report of the successful use of sirolimus in a patient with a pathological femoral fracture related to BRBNS complications.

Details

ISSN :
15365964
Volume :
101
Database :
OpenAIRE
Journal :
Medicine
Accession number :
edsair.doi.dedup.....28bffd01872c79595adef154c8abce8c
Full Text :
https://doi.org/10.1097/md.0000000000029679