Kaposiform lymphangiomatosis: Diagnosis, pathogenesis, and treatment

Author:

McDaniel C. Griffin1ORCID,Adams Denise M.2,Steele Kimberley E.3ORCID,Hammill Adrienne M.45ORCID,Merrow A. Carl67,Crane Janet L.8,Smith Christopher L.9,Kozakewich Harry P. W.10,Le Cras Timothy D.511ORCID

Affiliation:

1. University of Cincinnati College of Medicine Cincinnati Ohio USA

2. Division of Oncology, Comprehensive Vascular Anomalies Program Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA

3. Collaborative Research Advocacy for Vascular Anomalies Network (CaRAVAN) Bethesda Maryland USA

4. Division of Hematology, Cancer and Blood Diseases Institute Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA

5. Department of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA

6. Department of Radiology and Medical Imaging Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA

7. Department of Radiology University of Cincinnati College of Medicine Cincinnati Ohio USA

8. Division of Pediatric Endocrinology, Department of Pediatrics Johns Hopkins University School of Medicine Baltimore Maryland USA

9. Division of Cardiology, Children's Hospital of Philadelphia University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA

10. Department of Pathology, Boston Children's Hospital Harvard Medical School Boston Massachusetts USA

11. Division of Pulmonary Biology Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA

Abstract

AbstractKaposiform lymphangiomatosis (KLA) is a life‐threatening rare disease that can cause substantial morbidity, mortality, and social burdens for patients and their families. Diagnosis often occurs long after initial symptoms, and there are few centers in the world with the expertise to diagnose and care for patients with the disease. KLA is a lymphatic anomaly and significant advancements have been made in understanding its pathogenesis and etiology since its first description in 2014. This review provides multidisciplinary, comprehensive, and state‐of‐the‐art information on KLA patient presentation, diagnostic imaging, pathology, organ involvement, genetics, and pathogenesis. Finally, we describe current therapeutic approaches, important areas for research, and challenges faced by patients and their families. Further insights into the pathogenesis of KLA may advance our understanding of other vascular anomalies given that similar signaling pathways may be involved.

Funder

National Heart, Lung, and Blood Institute

Publisher

Wiley

Subject

Oncology,Hematology,Pediatrics, Perinatology and Child Health

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