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A 10-year-old girl presented with a congenital malformation of the left hand, causing stiffness and pain. Examination showed swelling with dilated bluish venous channels involving the second, third and fourth fingers on the palmar aspect, the hand and the distal forearm (figure 1). A colour Doppler ultrasound showed a mass with heterogeneous echogenicity and vascular lacunae without arterial flow, suggestive of …
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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