Evaluation and management of the lateral marginal vein in Klippel-Trénaunay and other PIK3CA-related overgrowth syndromes

2020 ◽  
Vol 8 (3) ◽  
pp. 482-493 ◽  
Author(s):  
Arash Fereydooni ◽  
Naiem Nassiri
2020 ◽  
Author(s):  
A Laufer ◽  
A Frommer ◽  
G Gosheger ◽  
R Rödl ◽  
AM Rachbauer ◽  
...  

2021 ◽  
pp. 195-201
Author(s):  
Emily Sideris ◽  
Er Tsing Vivian Tng ◽  
Paul Chee

We present a rare case of KRAS keratinocytic epidermal nevus syndrome with lymphatic malformation, responsive to treatment with sirolimus, an mTOR inhibitor. A brief review of the current literature regarding sirolimus use in vascular malformations, lymphatic malformations, regional overgrowth syndromes, and RASopathies is discussed.


2012 ◽  
Vol 24 (4) ◽  
pp. 505-511 ◽  
Author(s):  
Orla M. Neylon ◽  
George A. Werther ◽  
Matthew A. Sabin
Keyword(s):  

Author(s):  
Mark Hughes

A new species, Memecylon pseudomegacarpum (Melastomataceae), is described from southern Peninsular Thailand, Peninsular Malaysia and Singapore. This taxon was previously known under the misapplied name M. megacarpum, which is now considered endemic to Borneo. Memecylon pseudomegacarpum sp. nov. differs from M. megacarpum in having smaller leaves (8–)10.5–17(–22.5) cm rather than (10–)17–28(–35) cm long, with an elliptic lamina (not lanceolate) with a raised mid-rib (not sunken) and a marginal vein which is 2–4 mm from the margin (not 5–12 mm). Both species have similar flowers and share large (c. 15 mm diameter) globose fruits.


2021 ◽  
pp. 163-188
Author(s):  
Jack Brzezinski ◽  
Cheryl Shuman ◽  
Rosanna Weksberg
Keyword(s):  

Author(s):  
Robin D. Clark ◽  
Cynthia J. Curry

This chapter reviews information on disorders that cause large birth weight, macrosomia, and/or segmental overgrowth. The most common of these conditions is seen in infants of diabetic mothers. Abnormal dosage of growth regulating genes make chromosomal microarray abnormalities a relatively common cause of overgrowth. Particularly notable is the distinctive Pallister Killian syndrome (12p tetrasomy). Other common overgrowth syndromes include Beckwith-Wiedemann syndrome, Sotos, Malan, and Weaver syndromes. The RASopathy syndromes including Noonan syndrome* and Costello syndrome are also often large at birth. Segmental overgrowth syndromes including Proteus and Klippel Trenaunay as well as PIK3CA related overgrowth (PROS) are discussed as well as their somatic mosaic origin in affected tissues. Clinical guidelines for evaluation and surveillance are outlined. The clinical case presentation features an infant with Sotos syndrome.


2019 ◽  
pp. 199-216 ◽  
Author(s):  
Leslie G. Biesecker

Proteus syndrome is an exceedingly rare disorder, perhaps the least common of all overgrowth syndromes but one of the most distinctive because of its segmental nature and unrelenting progression. Proteus syndrome occurs sporadically and was the first of the segmental overgrowth syndromes found to be caused by somatic mosaicism. The discovery of an activating mutation in AKT1 by Les Biesecker and colleagues at the National Institutes of Health provided the initial molecular proof for somatic mosaicism in Proteus syndrome. Overgrowth in Proteus syndrome can involve nearly any tissue or part of the body. Presumably a germline mutation that would affect all tissues of the body would be lethal. Overgrowth of a tissue or a body part is the distinctive manifestation of Proteus syndrome but in most cases will be accompanied by other cutaneous, skeletal, vascular, or soft tissue findings. Although the possibility of an increased risk for developing neoplastic disease is a concern in any overgrowth disorder, this has not been demonstrated in Proteus syndrome.


2019 ◽  
pp. 39-72
Author(s):  
Alessandro Mussa ◽  
Jennifer M. Kalish ◽  
Flavia Cerrato ◽  
Andrea Riccio ◽  
Giovanni Battista Ferrero

This chapter provides a thorough overview of Beckwith-Wiedemann syndrome, which is considered to be the most common of the overgrowth syndromes and imprinting disorders. It starts with a description of the clinical aspects of the condition, including diagnostic criteria, differential diagnosis, risk of malignancy, and management. This is followed by an in-depth description of the genetic causes of the syndrome and of the molecular pathways involved in the pathogenesis of this disorder. The complexities of the etiology, which involves two neighboring loci, each one regulated by finely tuned imprinting mechanisms, are clearly delineated. The chapter also touches on the reported association between in vitro fertilization and risk of conceiving a baby with this syndrome.


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