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Multimodal Imaging in Klippel-Trénaunay-Weber Syndrome

Clinical Photography, Computed Tomoangiography, Infrared Thermography, and 99mTc-Phytate Lymphoscintigraphy

Kim, Su Wan MD, PhD*; Song, Heesung MD, PhD

doi: 10.1097/RLU.0000000000001875
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We report the case of a 19-year-old man who presented with a 12-year history of progressive fatigue, feeling hot, excessive sweating, and numbness in the left arm. He had undergone multimodal imaging and was diagnosed as having Klippel-Trénaunay-Weber syndrome (KTWS). This is a rare congenital disease, defined by combinations of nevus flammeus, venous and lymphatic malformation, and hypertrophy of the affected limbs. Lower extremities are affected mostly. Conventional modalities for evaluating KTWS are ultrasonography, CT, MRI, lymphoscintigraphy, and angiography. There are few reports on multimodal imaging of upper extremities of KTWS patients, and this is the first report of an infrared thermography in KTWS.

From the *Department of Thoracic and Cardiovascular Surgery and †Nuclear Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.

Received for publication August 22, 2017; revision accepted September 20, 2017.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Heesung Song, MD, PhD, Department of Nuclear Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Aran 13gil 15, Jeju-si, Jeju Special Self-governing Province, Korea 6231. E-mail: heesung119@gmail.com.

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