10yr old student having painless multiple vascular swellings all over body since childhood. What are the dds & treatment plan.Kindly discuss. Thank you.

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@Dr. Digvijay Gadhavi Sir! MAFUCCI SYNDROME Maffucci syndrome is a disease characterized by the presence of multiple enchondromas associated with multiple hemangiomas. Management: Management includes careful examination and monitoring for malignant degenerations. Surgical interventions can correct or minimize deformities. Differential Diagnosis: OLLIER DISEASE In Ollier disease isolated enchondromas are present without the presence of hemangiomas

@Dr. Hemant Adhikari Sir! Thanks for tagging
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Multiple Swellings all over the Body. Need for Evaluation of the : * VASCULAR SYSTEM, WETHER VENOUS OR ARTERIAL SYSTEM{S} OR BOTH ARE INVOLVED. * WETHER NERVOUS TISSUE INVOLVED. * WETHER OSTEOID TISSUE INVOLVED. *WETHER A-V FISTULA PRESENT OR NOT. * WETHER OTHER SYSTEMS INVOLVED, LIKE CVS, LUNG TISSUES, OR ANY OTHER ASDOCIATED SYSTEM INVOLVMENT. NEEDS FETAILED INVESTIGATIONS, LIME COLOR DOPPLER FLOE STUDIES, 2 D ECHO, USG ABDOMEN. INVESTIGATIONS DEPENDING UPON THE CLINICAL EVALUATION. PROVISIONAL DX : MULTIPLE VASCULAR SWELLINGS : R/O : KLEFFEL TRENAUNAY SYNDROME. D/D : A-V MALFORMATIONS. RX : ACCORDINGLY.

Enchondroma with multiple angiomas (Maffucci syndrome) was first reported by Maffucci in 1881 after a 40-year-old woman died from complications following amputation of an arm. The patient had frequent and severe hemorrhage from a vascular tumor for which she was admitted to the hospital. In view of the profuse bleeding, an amputation was performed and the patient died from infection. Maffucci reported a thorough autopsy that described all the main points of the syndrome named after him. In 1941, Carleton et al proposed the eponym Maffucci syndrome. Maffucci syndrome is a rare genetic disorder that affects both males and females. Maffucci syndrome is characterized by benign enlargements of cartilage (enchondromas); bone deformities; and dark, irregularly shaped hemangiomas. No racial or sexual predilection is apparent in Maffucci syndrome. No familial pattern of inheritance has been shown, but Maffucci syndrome manifests early in life, usually around age 4-5 years, with 25% of cases being congenital. Maffucci syndrome appears to develop from mesodermal dysplasia early in life. Patients apparently are of average intelligence, and no associated mental or psychiatric abnormalities seem to be present.

Multiple deep Hemangioma Look for any bone deformities, get X rays May be maffucci syndrome...

Not having any idea about its management ...... Its Siraj Granthi.... @Dr. Shukla Vikram @Dr. Surbala Badgaiyan @Dr. Udit Kumar Chatriya @Dr. Vikram Dev Singh @Dr. Ganesh Jadhav @Dr. M V Subramanyam @Dr. Aniruddha Lele @Dr. Subhashkumar Bharti @Dr. Sanjay Kumar Mallick @Dr. Md Shahbaz Ali sir Please share your valuable opinion on this case

Dear Dr. Hemant Adhikari, I agree with you. Advice for the patient, Tab. Kanchanar guggulu 2 tds. Tab. Keshor guggulu 2 tds. Tab. Aarogya vardhini ras 1 tds. Rohitakarista 20 ml BD. Swedan karma will also helpful.
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Multiple lipomas Neurofibromatosis Multiple hemangiomas. Needs detailed information and investigation.

Plexiform Hemangiolipomas Biopsy & Histopathologic examination for confirmation of diagnosis

Angiolipomas or multiple exostoses or enchondromas with hemangiomas as seen in Mafuccis.

May be lipoma ???

Multiple hemangioma

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