Dr. Perlstein received his Medical Degree from the University of Cincinnati and then completed his internship and residency in pediatrics at The New York Hospital, Cornell medical Center in New York City. After serving an additional year as Chief Pediatric Resident, he worked as a private practitioner and then was appointed Director of Ambulatory Pediatrics at St. Barnabas Hospital in the Bronx.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Asymmetric limb hypertrophy is enlargement of one limb compared to the
opposite side. For example, an individual with Klippel-Trènaunay-Weber syndrome may have a left leg
or arm that is larger than his/her right leg or arm. This asymmetry is found in
other inherited syndromes as well. Most commonly in individuals with
Klippel-Trènaunay-Weber, the
leg is involved more frequently than an arm; however, on occasion there is
enlargement of two limbs, a buttock, or part of the trunk of the body.
Are there other abnormalities in Klippel-Trènaunay-Weber
syndrome?
Although the triad of "port-wine stain, varicosities, and asymmetric limb
hypertrophy," is the consistent clinical centerpiece of Klippel-Trènaunay-Weber, there are often
other less frequent abnormalities found in those affected by the syndrome. These
may include other limb or digit abnormalities such as:
Eye problems may include glaucoma and cataracts.
Finally, any of the vascular anomalies can affect the internal organs including
the intestinal and urinary tract systems. These may be at risk for spontaneous
bleeding, and it is important to evaluate any individual with evidence of
superficial abdominal lesions.
Glaucoma is a common eye condition in which the fluid pressure inside the eye rises because of slowed fluid drainage from the eye. If untreated, glaucoma may damage the optic nerve and other parts of the eye, causing the loss of vision or even blindness.
Epilepsy is a brain disorder in which the person has seizures. There are two kinds of seizures, focal and generalized. There are many causes of epilepsy. Treatment of epilepsy (seizures) depends upon the cause and type of seizures experienced.
Varicose vein: A dilated (widened) tortuous (twisting) vein, usually involving a superficial vein in the leg, often associated with incompetency of the valves in the vein. These visible and bulging veins are often associated with symptoms such as tired, heavy, or aching limbs. Spider veins are a group of widened veins that can be seen through the surface of the skin.
Birthmarks and other abnormal skin pigmentation is caused by the body's inability to produce enough melanin. Abnormal skin pigmentation can cause conditions such as vitiligo, pigmentation loss, melasma, albinism, port wine stains, macular stains and hemangioma.
Birth defects have many causes and currently, are the leading cause of death for infants in the first year of life. Some of the causes of birth defects include genetic or chromosome problems. Exposure of the mother to rubella or German measles during pregnancy, or using drugs or alcohol during pregnancy. The treatment for birth defects depends upon the condition of the effected child.
Heart failure is caused by many conditions including coronary artery disease, heart attack, cardiomyopathy, and conditions that overwork the heart. Symptoms of heart failure include congested lungs, fluid and water retention, dizziness, fatigue and weakness, and rapid or irregular heartbeats.
Healthy Living Tips
This site complies with the