中华皮肤科杂志 ›› 2012, Vol. 45 ›› Issue (4): 284-286.

• 研究报道 • 上一篇    下一篇

皮肤和黏膜多发静脉血管畸形一家系

林有坤1,方玲2,罗彦彦3,华荣4,许淑茹5,何钠6,李晓龙5,舒伟2,袁志刚2   

  1. 1. 广西医科大学第一附属医院
    2. 广西医科大学 细胞生物学与遗传学教研室
    3. 广西医科大学第一附属医院皮肤性病科
    4. 广西壮族自治区人口和计划生育研究中心
    5. 广西医科大学基础医学院
    6. 广西南宁市农院路12号武警广西总队医院皮肤性病科
  • 收稿日期:2011-06-10 修回日期:2011-07-05 出版日期:2012-04-15 发布日期:2012-03-30
  • 通讯作者: 袁志刚 E-mail:gangzhy@yahoo.com.cn
  • 基金资助:

    皮肤及粘膜血管畸形家系的遗传分析和致病机制初步研究

Mucocutaneous venous malformation in a Chinese family

  • Received:2011-06-10 Revised:2011-07-05 Online:2012-04-15 Published:2012-03-30

摘要:

目的 探讨家族遗传性皮肤和黏膜多发静脉血管畸形家系的临床及病理特点。方法 对家系进行临床流行病学调查和常规组织病理检查。结果 一家系5代 65名成员中有患者19例,呈现出典型的常染色体显性遗传;所有患者均无消化道出血、心脏和脑部异常史。皮损表现为口腔黏膜和四肢皮下等处大小不等的蓝紫色、突出皮面、质稍硬的瘤体。病理表现为静脉管腔不规则扩大,血管壁厚薄不一,小静脉丛生,血管内皮细胞层正常,平滑肌细胞层存在不同程度的增厚或者缺乏。结论 综合遗传方式和临床表现以及组织病理表现,诊断为皮肤和黏膜多发静脉血管畸形。

关键词: 病理分析

Abstract:

Objective To analyze the clinicopathologic features of hereditary cutaneomucosal venous malformation (VMCM) in a Chinese family. Methods Family history was investigated in a family with VMCM, and tissue specimens were obtained from the lesions of the proband and subjected to histopathological analysis. Results Among 65 members from 5 generations of the family, 19 were affected by VMCM, hinting an autosomal dominant inheritance. None of the family members experienced gastrointestinal bleeding, central nervous system disorders, or cardiac defects. Affected individuals usually presented with multiple irregularly sized, blue-violet, elevated and slightly indurated masses located in the oral mucosa and subcutaneous tissue of the extremities. Pathological analysis showed malformed veins with abnormally dilated cavities and irregularly thickened walls. Although small veins were abnormally proliferating and clustered, there was no endothelial discontinuity. The smooth muscle layer was thickned in a varying degree or absent. Conclusion A diagnosis of VMCM is made according to the inheritance manner, clinical manifestation and pathological findings.

Key words: pathological analysis