DIFFUSE CAPILLARY MALFORMATION WITH OVERGROWTH

By Gary M. White, MD


Diffuse capillary malformation with overgrowth (DCMO) is proposed as a term to describe extensive reticular vascular staining with proportionate overgrowth. It is differentiated from Klippel-Trenaunay Syndrome in that KTS is a triad of a capillary-lymphatic-venous malformation (CLVM) in a limb whereas DCMO has an extensive capillary malformation.

Clinical

DCMO is characterized by erythematous to purplish stains. It has a diffuse distribution, extending at a minimum beyond one anatomic region. Neither atrophy nor ulcers are present. It may have a midline demarcation, e.g., on the abdomen. The associated overgrowth is a diffuse proportional enlargement of a body region, most commonly of a limb. The skin vascular malformations frequently lighten over the first several months.

References

J Am Acad Dermatology Volume 69, Issue 4, Pages 589–594, October 2013
Capillary malformation and hypertrophy of the left hand. J Dermatol Case Rep. 2014 Dec 31; 8(4): 118–119.

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