Cobb syndrome is an exceedingly rare clinical condition defined by the presence of a vascular skin nevus and an angioma in the spinal canal at the same metamere. We report the case of a 14-year-old boy who presented with sudden onset paraplegia. Physical examination showed port-wine stains over buttock and thigh. Magnetic resonance (MR) angiogram of the dorso-lumbar spine revealed a large arter...

Sturge-Weber syndrome can be associated with facial port-wine stains and intracranial calcification, and concurrent Klippel-Trenaunay-Weber syndrome has been reported. Klippel-Trenaunay-Weber syndrome is a rare congenital mesodermal phakomatosis characterized by cutaneous hemangiomas, venous varicosities and soft tissue or bone hypertrophy of the affected extremities. This report is presented a...

To cite: Ragupathi S, Reddy AK, Jayamohan AE, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014205743 DESCRIPTION A three-and-half-year-old child with developmental delay presented to the paediatric department with a 2-day history of high-grade fever with chills and rigours. There was associated weakness of the right upper and lower limbs with an episode...

Background Hemangiomas are common benign vascular tumors characterized by a proliferative growth phase followed by very slow and inevitable regression. They are classified as capillary, cavernous, and mixed lesions, 60% are localized on the head and neck but they can be found in all regions of the body. Most of the lesions are focal and solitary, while 15%–20% are multiple with involvement of e...

Laser treatment of vascular skin lesions is rapidly improving. Port wine stain (PWS) is one of the first lesions successfully treated with laser. The pulsed dye laser (PDL) has been developed on the concept of selective photothermolysis and has revolutionized PWS treatment. Even though the response is variable, substantial blanching can be obtained after several sessions. Greater selectivity an...

An evaluation of the standardised Romanowsky stain of Marshall et al. has been made in a routine haematology laboratory. It was noted that this stain had several advantages over the May-Grünwald Giemsa stain used in most British laboratories. These advantages include ease and speed of preparation, a shorter staining time, and reproducibility of results. These results are described in detail. Th...

BACKGROUND AND OBJECTIVES Quantitative methods to assess port wine stain (PWS) skin response to laser therapy are needed to improve therapeutic outcome. In this study, PWS skin erythema was analyzed using erythema index difference (DeltaEI: erythema index difference between PWS and normal skin) images before and after treatment to investigate systematically subject-dependent response to laser t...

Cryogen spray cooling (CSC) is used to minimize the risk of epidermal damage during pulsed laser treatment of port wine stain (PWS) birthmarks. Unfortunately, the current approach to CSC does not provide the necessary epidermal protection for all patients, particularly those with darker skin types. Therefore, alternative approaches need to be sought to improve PWS laser therapy. On a previous n...

BACKGROUND Recent reports have proposed that there were no differences between acquired port-wine stain (APWS) and congenital port-wine stain (CPWS) except the onset of disease. Pulsed dye laser (PDL) therapy is regarded as the treatment of choice in PWS. Although in some articles, APWS might have shown a better response to PDL than CPWS, this is still controversial. It has been assumed however...

A case of solitary intraosseous neurofibroma of the mandible is reported. The tumor was located in the body of the right mandible. Segmental mandibulectomy including the surrounding tissue was performed and the mandible was reconstructed with the free scapular osteocutaneous flap. From histological examination of the resected mandible, typical findings of a tumor invading the adjacent bone alon...