A Multiple Synergic Treatment for Non-Healing Ulcer Management in a Patient with <i>Klippel–Trenaunay</i> Syndrome

Klippel–Trenanauy syndrome (KTS) is a rare genetic disease determined by overexpression of the phosphatidylinositol-4-5-bisphosphate 3 kinase catalytic subunit (PIK3CA) gene. The clinical presentation is characterized by venous and capillary malformations and lymphatic malformation. To date, no defi...

Full description

Bibliographic Details
Main Authors: Cristina Vocca, Gianmarco Marcianò, Vincenzo Rania, Luca Catarisano, Caterina Palleria, Salvatore Ciranni, Giuseppina Torcia, Raffaele Serra, Francesco Monea, Giuseppe Spaziano, Giovambattista De Sarro, Rita Citraro, Luca Gallelli
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Reports
Subjects:
Online Access:https://www.mdpi.com/2571-841X/6/3/33
_version_ 1827723737248563200
author Cristina Vocca
Gianmarco Marcianò
Vincenzo Rania
Luca Catarisano
Caterina Palleria
Salvatore Ciranni
Giuseppina Torcia
Raffaele Serra
Francesco Monea
Giuseppe Spaziano
Giovambattista De Sarro
Rita Citraro
Luca Gallelli
author_facet Cristina Vocca
Gianmarco Marcianò
Vincenzo Rania
Luca Catarisano
Caterina Palleria
Salvatore Ciranni
Giuseppina Torcia
Raffaele Serra
Francesco Monea
Giuseppe Spaziano
Giovambattista De Sarro
Rita Citraro
Luca Gallelli
author_sort Cristina Vocca
collection DOAJ
description Klippel–Trenanauy syndrome (KTS) is a rare genetic disease determined by overexpression of the phosphatidylinositol-4-5-bisphosphate 3 kinase catalytic subunit (PIK3CA) gene. The clinical presentation is characterized by venous and capillary malformations and lymphatic malformation. To date, no definitive treatment has been suggested in order to improve the clinical symptoms related to the developments of a skin wound. In this case, we describe a young man with KTS that developed a severe skin wound in the lower right limb unresponsive to the common treatment but responsive to a treatment with oxygen-ozone therapy, pulsed magnetic fields (diamagnetic treatment), and topical fixed association of cocum caprylate, oleic acid, quercetin, and 18-β glycyrrhetinic acid. This is the first case that supports a multistep approach to treat a rare and severe disease, and we hope that other studies can support our data.
first_indexed 2024-03-10T22:03:55Z
format Article
id doaj.art-0c4e312eda984f028250f2c1949b2e79
institution Directory Open Access Journal
issn 2571-841X
language English
last_indexed 2024-03-10T22:03:55Z
publishDate 2023-07-01
publisher MDPI AG
record_format Article
series Reports
spelling doaj.art-0c4e312eda984f028250f2c1949b2e792023-11-19T12:50:40ZengMDPI AGReports2571-841X2023-07-01633310.3390/reports6030033A Multiple Synergic Treatment for Non-Healing Ulcer Management in a Patient with <i>Klippel–Trenaunay</i> SyndromeCristina Vocca0Gianmarco Marcianò1Vincenzo Rania2Luca Catarisano3Caterina Palleria4Salvatore Ciranni5Giuseppina Torcia6Raffaele Serra7Francesco Monea8Giuseppe Spaziano9Giovambattista De Sarro10Rita Citraro11Luca Gallelli12Operative Unit of Pharmacology and Pharmacovigilance, “Renato Dulbecco University Hospital”, Department of Health Science, University Magna Graecia, 88100 Catanzaro, ItalyOperative Unit of Pharmacology and Pharmacovigilance, “Renato Dulbecco University Hospital”, Department of Health Science, University Magna Graecia, 88100 Catanzaro, ItalyOperative Unit of Pharmacology and Pharmacovigilance, “Renato Dulbecco University Hospital”, Department of Health Science, University Magna Graecia, 88100 Catanzaro, ItalyOperative Unit of Pharmacology and Pharmacovigilance, “Renato Dulbecco University Hospital”, Department of Health Science, University Magna Graecia, 88100 Catanzaro, ItalyOperative Unit of Pharmacology and Pharmacovigilance, “Renato Dulbecco University Hospital”, Department of Health Science, University Magna Graecia, 88100 Catanzaro, ItalyVascular Surgery Unit, Department of Medical and Surgical Science, University Magna Graecia, 88100 Catanzaro, ItalyVascular Surgery Unit, Department of Medical and Surgical Science, University Magna Graecia, 88100 Catanzaro, ItalyVascular Surgery Unit, Department of Medical and Surgical Science, University Magna Graecia, 88100 Catanzaro, ItalyResearch Center FAS@UMG, Department of Health Science, University Magna Graecia, 88100 Catanzaro, ItalyDepartment of Environmental Biological and Pharmaceutical Sciences and Technologies, University of Campania “Luigi Vanvitelli”, 81100 Caserta, ItalyOperative Unit of Pharmacology and Pharmacovigilance, “Renato Dulbecco University Hospital”, Department of Health Science, University Magna Graecia, 88100 Catanzaro, ItalyOperative Unit of Pharmacology and Pharmacovigilance, “Renato Dulbecco University Hospital”, Department of Health Science, University Magna Graecia, 88100 Catanzaro, ItalyOperative Unit of Pharmacology and Pharmacovigilance, “Renato Dulbecco University Hospital”, Department of Health Science, University Magna Graecia, 88100 Catanzaro, ItalyKlippel–Trenanauy syndrome (KTS) is a rare genetic disease determined by overexpression of the phosphatidylinositol-4-5-bisphosphate 3 kinase catalytic subunit (PIK3CA) gene. The clinical presentation is characterized by venous and capillary malformations and lymphatic malformation. To date, no definitive treatment has been suggested in order to improve the clinical symptoms related to the developments of a skin wound. In this case, we describe a young man with KTS that developed a severe skin wound in the lower right limb unresponsive to the common treatment but responsive to a treatment with oxygen-ozone therapy, pulsed magnetic fields (diamagnetic treatment), and topical fixed association of cocum caprylate, oleic acid, quercetin, and 18-β glycyrrhetinic acid. This is the first case that supports a multistep approach to treat a rare and severe disease, and we hope that other studies can support our data.https://www.mdpi.com/2571-841X/6/3/33Klippel–Trenanauy syndromewoundoxygen-ozone therapypulsed magnetic fieldsnutrients
spellingShingle Cristina Vocca
Gianmarco Marcianò
Vincenzo Rania
Luca Catarisano
Caterina Palleria
Salvatore Ciranni
Giuseppina Torcia
Raffaele Serra
Francesco Monea
Giuseppe Spaziano
Giovambattista De Sarro
Rita Citraro
Luca Gallelli
A Multiple Synergic Treatment for Non-Healing Ulcer Management in a Patient with <i>Klippel–Trenaunay</i> Syndrome
Reports
Klippel–Trenanauy syndrome
wound
oxygen-ozone therapy
pulsed magnetic fields
nutrients
title A Multiple Synergic Treatment for Non-Healing Ulcer Management in a Patient with <i>Klippel–Trenaunay</i> Syndrome
title_full A Multiple Synergic Treatment for Non-Healing Ulcer Management in a Patient with <i>Klippel–Trenaunay</i> Syndrome
title_fullStr A Multiple Synergic Treatment for Non-Healing Ulcer Management in a Patient with <i>Klippel–Trenaunay</i> Syndrome
title_full_unstemmed A Multiple Synergic Treatment for Non-Healing Ulcer Management in a Patient with <i>Klippel–Trenaunay</i> Syndrome
title_short A Multiple Synergic Treatment for Non-Healing Ulcer Management in a Patient with <i>Klippel–Trenaunay</i> Syndrome
title_sort multiple synergic treatment for non healing ulcer management in a patient with i klippel trenaunay i syndrome
topic Klippel–Trenanauy syndrome
wound
oxygen-ozone therapy
pulsed magnetic fields
nutrients
url https://www.mdpi.com/2571-841X/6/3/33
work_keys_str_mv AT cristinavocca amultiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT gianmarcomarciano amultiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT vincenzorania amultiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT lucacatarisano amultiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT caterinapalleria amultiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT salvatoreciranni amultiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT giuseppinatorcia amultiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT raffaeleserra amultiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT francescomonea amultiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT giuseppespaziano amultiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT giovambattistadesarro amultiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT ritacitraro amultiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT lucagallelli amultiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT cristinavocca multiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT gianmarcomarciano multiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT vincenzorania multiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT lucacatarisano multiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT caterinapalleria multiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT salvatoreciranni multiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT giuseppinatorcia multiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT raffaeleserra multiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT francescomonea multiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT giuseppespaziano multiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT giovambattistadesarro multiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT ritacitraro multiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome
AT lucagallelli multiplesynergictreatmentfornonhealingulcermanagementinapatientwithiklippeltrenaunayisyndrome