Puttgen Katherine B, Lin Doris D M
Department of Dermatology, Division of Pediatric Dermatology, Johns Hopkins Hospital, 200 North Wolfe Street, Unit 2107, Baltimore, MD 21287, USA.
Childs Nerv Syst. 2010 Oct;26(10):1407-15. doi: 10.1007/s00381-010-1201-3. Epub 2010 Jun 27.
There have been significant recent advances in the past several years in the field of neurocutaneous vascular syndromes, including the development of more stringent diagnostic criteria for PHACE syndrome, the renaming of macrocephaly-cutis marmorata telangiectatica congenita to macrocephaly-capillary malformation to accurately reflect the true nature of the syndrome, and discovery of new genetic mutations such as RASA-1. There have also been advances in the understanding and management of Sturge-Weber syndrome.PHACE syndrome is a constellation of neurologic, arterial, cardiac, ophthalmologic, and sternal abnormalities associated with infantile hemangiomas. PHACE is an acronym for Posterior fossa malformation, Hemangioma, Arterial anomalies, Coarctation of the aorta, Eye abnormalities. Some authors include an "S" for PHACE(S) to denote the association of ventral defects including Sternal clefting and Supraumbilical raphe.The accurate diagnosis and work-up of these patients require coordination of care across multiple disciplines, including neuroradiology, radiology, dermatology, neurology, surgery, and interventional radiology, among others.This paper is meant to update clinicians and researchers about important advances in these rare, important vascular syndromes, to improve care, and lay the foundation for future directions for research.
在过去几年中,神经皮肤血管综合征领域取得了重大进展,包括为PHACE综合征制定了更严格的诊断标准,将先天性大头大理石样皮肤毛细血管扩张症重新命名为大头毛细血管畸形,以准确反映该综合征的真实性质,以及发现了新的基因突变,如RASA - 1。在对斯特奇 - 韦伯综合征的认识和管理方面也取得了进展。PHACE综合征是一组与婴儿血管瘤相关的神经、动脉、心脏、眼科和胸骨异常。PHACE是后颅窝畸形、血管瘤、动脉异常、主动脉缩窄、眼部异常的首字母缩写。一些作者在PHACE(S)中加入“S”,以表示包括胸骨裂和脐上缝在内的腹部缺损的关联。对这些患者进行准确的诊断和检查需要多个学科的协作,包括神经放射学、放射学、皮肤科、神经科、外科和介入放射学等。本文旨在向临床医生和研究人员介绍这些罕见但重要的血管综合征的重要进展,以改善治疗,并为未来的研究方向奠定基础。