de Felipe I, Quintanilla E
Departamento de Dermatología, Clínica Universitaria de Navarra, Pamplona, España.
Rev Neurol. 1997 Sep;25 Suppl 3:S250-8.
There are several syndromes in which neurological and cutaneous alterations of vascular origin, among other symptoms, occur. The key point of this fact is that these cutaneous signs permit early diagnosis, thus helping in further recognition of more complex syndromes and preventing unnecessary, harmful and costly diagnostic procedures or having to wait until the appearance of neurological signs. Therefore, these diseases should be classified attending to the most notorious vascular lesions they show, though they may show other less frequent cutaneous vascular lesions. In this way, these syndromes can be classified as associated with nevus flammeus (Sturge-Weber, Shapiro-Shulman, Bonnet-Dechaume-Blanc, Cobb, Klippel-Trenaunay, Fegeler, Robert), cavernous hemangiomas (Maffucci, blue-rubber-bleb-nevus, Proteus, Bannayan-Zonana, Riley-Smith, familial cavernous angiomatosis, POEMS syndrome), capillary hemangiomas (Rubinstein-Tayabi, Coffin-Siris, PHACE syndrome), telangiectasia (congenital telangiectatic cutis marmorata, Rendu-Osler-Weber, ataxia telangiectasia, Cockayne, De Sanctis-Cacchione), livedo reticularis (Sneddon, Divry-van-Bogaert), angioqueratoma (Fabry disease, Fucosidosis) and hemangioblastoma (Von Hippel-Lindau). Though we have tried that these vascular lesions should be named as angiomas if they are malformations and hemangiomas if they are benign neoplasias, they are called following morphological aspects rather than other criteria, due to their unknown origin.
有几种综合征会出现血管源性的神经和皮肤改变以及其他症状。这一事实的关键在于,这些皮肤体征有助于早期诊断,从而有助于进一步识别更复杂的综合征,并避免不必要的、有害且昂贵的诊断程序,或避免不得不等到神经体征出现。因此,这些疾病应根据其最显著的血管病变进行分类,尽管它们可能还会出现其他不太常见的皮肤血管病变。通过这种方式,这些综合征可分类为与葡萄酒色斑(斯特奇-韦伯综合征、夏皮罗-舒尔曼综合征、邦内-德肖梅-布朗综合征、科布综合征、克-特综合征、费格勒综合征、罗伯特综合征)、海绵状血管瘤(马富西综合征、蓝色橡皮疱痣综合征、普洛透斯综合征、班纳扬-佐纳纳综合征、莱利-史密斯综合征、家族性海绵状血管瘤病、POEMS综合征)、毛细血管瘤(鲁宾斯坦-泰比综合征、科芬-西里综合征、PHACE综合征)、毛细血管扩张(先天性大理石样皮肤毛细血管扩张症、伦杜-奥斯勒-韦伯综合征、共济失调毛细血管扩张症、科凯恩综合征、德桑蒂斯-卡卡乔内综合征)、网状青斑(斯内登综合征、迪夫里-范博加特综合征)、血管角质瘤(法布里病、岩藻糖苷贮积症)和成血管细胞瘤(冯·希佩尔-林道综合征)相关。尽管我们试图根据其是否为畸形将这些血管病变命名为血管瘤,若为良性肿瘤则命名为血管瘤,但由于其起源不明,它们是根据形态学特征而非其他标准来命名的。