Pediatric Limb Asymmetry: A Unique Presentation of Angioosteohypertrophic Syndrome

Cureus. 2024 Jun 10;16(6):e62040. doi: 10.7759/cureus.62040. eCollection 2024 Jun.

Abstract

Parks-Weber syndrome (PWS), also known as Klippel-Trenaunay-Weber syndrome, is a rare congenital bone vascular syndrome first described in 1900. It is characterized by arteriovenous malformations in a limb, leading to disproportionate limb growth and potential heart failure. Unlike Klippel-Trenaunay syndrome, PWS manifests arteriovenous malformations with abnormal connections between the arteries and veins of the affected limb. The management of this syndrome, similar to that of Klippel-Trenaunay syndrome, relies mainly on symptomatic treatment. We report the first case of angioosteohypertrophic syndrome diagnosed at CHU Med VI Oujda, in a patient aged seven years and eight months. This syndrome manifested primarily in the right upper limb, characterized by asymmetry in both upper limbs, thermal disparity, a cutaneous nevus, and venous ectasia in the right arm. The diagnosis was further substantiated through arteriography, confirming the presence of an arteriovenous fistula.

Keywords: arteriovenous fistulas; child; congenital malformation; klippel-trenaunay-weber syndrome; parkes-weber syndrome.

Publication types

  • Case Reports