[Angiopathy with bone complications or vascular and osseous dysembryoplasia? Several cases of Klippel and Trénaunay's disease].
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Biomedical subjects
Publications and source records attributed to H R Van Der Molen.
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After emphasizing that the treatment of a strawberry naevus in a newborn is usually unnecessary, the author shows the value of the Sonar Doppler in delimiting the extent of pseudovaricose and cavernous, venous angiomas. Arterio-venous fistulas above a certain size can be localized by this procedure. Sometimes these disappear spontaneously (traumatism, thrombosis). On the other hand, the delicate arteriovenous fistulas found in cases of the Klippel and Trenaunay triad are inaccessible to this procedure.
In 20 patients with Raynaud's phenomenon affecting the upper or lower limbs (1974-1976), 4 methods of conservative therapy were used, in combinations according to the case: 1) Intraarterial injections of xylocaine-priscol-pronestyl. 2) Nitroglycerine ointment. 3) More rarely, paraphalangeal injections of 1% quinine-urea. 4) The hypertensive regime of Lassen and Larsen (mineralocorticoids by mouth). The age was in general between 45 and 75 years, and a vascular context, either arterial or venous, was frequent. Signs of scleroderma were absent. Disc disorders with radicular signs were not rare (6 cases). The most frequent combination, intraarterial injections and nitroglycerine ointment, generally had a remarkable effect. On only 3 occasions was recourse had to other methods. No patient had to undergo sympathectomy.
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