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Clinical and haemodynamic risk factors associated with discrepancies in lower limb length with capillary malformations: data from the national paediatric French cohort CONAPE
Author(s) -
Samimi M.,
DurieuxVerde M.,
Caille A.,
MazereeuwHautier J.,
Boccara O.,
Martin L.,
Chiaverini C.,
Eschard C.,
Beneton N.,
Vabres P.,
Balguerie X.,
Plantin P.,
Bessis D.,
Barbarot S.,
Dadban A.,
Droitcourt C.,
Leducq S.,
Lorette G.,
Morel B.,
Maruani A.
Publication year - 2018
Publication title -
british journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.304
H-Index - 179
eISSN - 1365-2133
pISSN - 0007-0963
DOI - 10.1111/bjd.16017
Subject(s) - medicine , hemodynamics , cohort , sonographer , pediatrics , surgery , ultrasonography
Summary Background Genetics discoveries have allowed for a better understanding of capillary malformations ( CM s) associated with overgrowth syndrome. However, molecular analyses are still not easy to perform or interpret. Other analytical methods are needed. Objectives To identify clinical and haemodynamic factors associated with leg length discrepancy ( LLD ) in children with CM s of the lower limbs. Methods Data were obtained from the multicentre French national cohort CONAPE ( CO horte Nationale d'enfants atteints d'Angiome Plan de membrE inférieur), from children aged 2–12 years old with CM s of the lower limbs. Clinical characteristics were prospectively collected. Haemodynamic factors were measured by an sonographer who calculated the arterial blood flow ( ABF ) in both lower limbs. An ABF difference ≥ 50% between the two lower limbs was considered relevant. LLD ≥ 2% was determined by the same radiologist on centralized radiographs. Results We analysed data at baseline for 96 children. The mean ± SD age was 5·6 ± 3·1 years; 49 (51%) were male; and 14 (15%) showed LLD . In total, 32 patients (33%) had venous anomalies, 13 (14%) lymphatic anomalies and in one child a diagnosis of Parkes Weber syndrome was made. Only an increased circumference above the knee was more frequent with than without LLD (43% vs. 13%, P = 0·02). In all, 10/79 patients (13%) showed a difference in ABF ≥ 50%: four had LLD . The frequency of differences in ABF ≥ 50% was greater with than without LLD [33% ( n = 4/12) vs. 9% ( n = 6/67), P = 0·04]. Conclusions ABF measured by Duplex ultrasonography is a simple, low‐cost and noninvasive complementary examination for help in detecting LLD , with a difference of ≥ 50% possibly associated.