I read with interest the Picture of the Month case by Mameli et al1 in which the authors described a child with a vascular birth mark of his lower extremity. The authors described an 11-year-old boy with a large “hemangioma” of the left leg, slight leg-length discrepancy, and mild femoral vein “incontinence.” Cerebral magnetic resonance imaging showed no arteriovenous malformations or hemangiomas. The authors presumed the correct diagnosis was Klippel-Trénaunay syndrome.
Alomari AI. Klippel-Trénaunay Syndrome Was Not the Correct Answer. Arch Pediatr Adolesc Med. 2010;164(2):203. doi:10.1001/archpediatrics.2009.273