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Kyphoscoliosis with Klippel-Trenaunay syndrome: a case report and literature review
- Source :
- BMC Musculoskeletal Disorders, BMC Musculoskeletal Disorders, Vol 20, Iss 1, Pp 1-7 (2019)
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- Background Klippel-Trenaunay syndrome (KTS) is a rare congenital syndrome characterized by the triad of venous varicosities, capillary malformations and limb hypertrophy. However, KTS may rarely occur in combination with kyphoscoliosis. Case presentation We presented an 18-year-old female with KTS and kyphoscoliosis. Hypertrophy of bone and soft tissue affected her left face, trunk and lower limb. Moreover, the patient is associated with subacute thyroiditis, vitamin D deficiency and iron deficiency anemia, high level of D-dimer, swollen tonsil, kyphoscoliosis and Chiari-I-malformation without syringomyelia. A posterior correction and spinal fusion from T10 to L5 levels were performed for this patient. The lumbar curve was corrected from 105° to 60° and the kyphosis improved from 58° to 26°. The distance of trunk shift decreased from 10 cm to 1.4 cm. There were no thrombotic events occurred. At the 8th month follow-up, there was no significantly change of the curve in the coronal and sagittal radiographs. During the 31-month follow-up, the patient did not experience any discomfort. And her general appearance did not have any change until the last follow-up. However, she refused to take radiograph for worrying about radiation. Conclusions KTS is a rare disease with classic clinical triad. However, it can also have other different features, including kyphoscoliosis, elevated D-Dimer, vitamin D deficiency and iron-deficiency anemia. These issues should be taken into consideration when planning treatment for kyphoscoliosis in KTS patients.
- Subjects :
- Klippel-Trenaunay-Weber Syndrome
medicine.medical_specialty
lcsh:Diseases of the musculoskeletal system
Klippel-Trenaunay syndrome
Adolescent
Kyphosis
Case Report
Kyphoscoliosis
Scoliosis
Thoracic Vertebrae
03 medical and health sciences
0302 clinical medicine
Rheumatology
medicine
Humans
Orthopedics and Sports Medicine
Subacute thyroiditis
030203 arthritis & rheumatology
030222 orthopedics
Lumbar Vertebrae
business.industry
Recovery of Function
medicine.disease
Trunk
Surgery
Capillary malformations
Spinal Fusion
Treatment Outcome
Venous varicosities
Female
lcsh:RC925-935
business
Syringomyelia
Limb hypertrophy
Rare disease
Subjects
Details
- ISSN :
- 14712474
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- BMC Musculoskeletal Disorders
- Accession number :
- edsair.doi.dedup.....48c3e268c737aa149ab5ae815cab64e8