Blue rubber bleb nevus syndrome physical examination

Overview

The presence of skin lesions on physical examination is highly suggestive of blue rubber bleb nevus syndrome.

Physical Examination

Physical examination of patients with blue rubber bleb nevus syndrome is usually remarkable for cutaneous manifestations.

Appearance of the Patient

• Patients with blue rubber bleb nevus syndrome usually appear normal.

Vital Signs

• Tachycardia with regular pulse

Skin

• Skin lesions in patients with blue rubber bleb nevus syndrome classified into:
  • Cutaneous and
  • Extracutaneous manifestations

Cutaneous manifestations

• The skin lesions are usually multifocal venous malformations which are dark blue in colour
• These lesions vary from millimeters to centimeters in size and diameter
• Venous malformations number range from few to hundreds
• Skin lesions have been categorised into 3 types
  • Type 1: Blue, rubbery, blood-filled sacs
  • Type 2: Large, disfiguring, cavernous lesions
  • Type 3: Blue, irregular macules

Blue rubber bleb nevus syndrome Microchapters
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