Sung Shih-Ying, Lin Yi-Chang, Tsai Yi-Ting, Lin Chih-Yuan, Lee Chung-Yi, Tsai Chien-Sung
Division of Cardiovascular Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Acta Cardiol Sin. 2014 Jul;30(4):333-6.
We herein describe the case of a 21-year-old woman with Stewart-Bluefarb syndrome presenting with recurrent ulcers on the right foot and multiple congenital arteriovenous malformations. The painful recurrent ulcers and brownish macules at the dorsum of the right foot had appeared at 13 years of age, and the size of the right foot gradually became larger than the left. She underwent conservative treatment and polyvinyl alcohol embolization but the ulcer was recurrent. Two macroscopic detectable feeding arteries to arteriovenous fistulas were ligated under Doppler sonography. At her 6 month follow-up, the chronic ulcer had begun to heal and pain had been alleviated.
Acroangiodermatitis; Arteriovenous malformation; Recurrent foot ulcer; Stewart-Bluefarb syndrome.
我们在此描述一名21岁患有斯图尔特 - 布卢法布综合征的女性病例，其右脚反复出现溃疡，并伴有多处先天性动静脉畸形。右脚背疼痛性反复溃疡及褐色斑于13岁时出现，且右脚尺寸逐渐大于左脚。她接受了保守治疗及聚乙烯醇栓塞治疗，但溃疡仍复发。在多普勒超声引导下结扎了两条肉眼可检测到的动静脉瘘供血动脉。在6个月的随访中，慢性溃疡已开始愈合，疼痛也有所缓解。
肢端血管性皮炎；动静脉畸形；复发性足部溃疡；斯图尔特 - 布卢法布综合征。
