© 2003 Fellowship of Postgraduate Medicine
IMAGES IN MEDICINE
Technetium-99m labelled red blood cell blood pool imaging versus contrast venography in a patient with extensive blue rubber bleb naevi
* Departments of Nuclear Medicine and Internal Medicine
Mafraq Hospital, Abu Dhabi, United Arab Emirates
Correspondence to:
Correspondence to:
Dr Haider M Al Attia, PO Box 2951, Abu Dhabi, United Arab Emirates;
haideralattia@hotmail.com
Keywords: blue rubber bleb nevi; contrast venography; technetium-99m labelled red blood cell blood pool imaging
| The first 150 words of the full text of this article appear below. |
16 year old boy with non-familial, multiple subcutaneous blue rubber bleb nevi (BRBN) since birth presented to us at the age of 13. The BRBN had increased in size over the years. He also had other minor dysmorphic anomalies and was mentally and physically mildly subnormal. Although some of his features were similar to those seen in Noonan’s syndrome, he lacked major elements of this condition and the presence of BRBN was extremely unusual. Bean’s syndrome (BRBN and gastrointestinal bleeding or iron deficiency anaemia) was considered but he had no gastrointestinal involvement. The absence of enchondromata argued against Maffucci’s syndrome (BRBN and enchondromata) in this boy. His chromosomes were normal. After thorough investigation the overall picture remained that of an uncertain or a non-specific syndrome. Because of the widespread blebs he underwent a number of imaging examinations including contrast venography of the arms, technetium-99m (99mTc) red blood cell blood
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