<s>[INST] What can you tell me about kippel Trenaunay Syndrome? My granddaughter was born width this. Her left arm is twice its size with pock type markings, as well as a large strawberry type area on the torso front and back. Where would something like this come from, and is there a cure? [/INST] KTS is a cutaneous vascular malformation caused by ARteriovenous malformation. Its present since birth. It can cause a finger, a part or a whole limb to enlarge. Child might present with cellulitis, pain and swelling of limbs along with a strawberry or a cavernous venous dilatation. Complications that can occur include thrmboflebitis, heart failure, gangrene of hand, sepsis and infection. Treatment includes percutaneous chemotherapy guided by color Doppler ECHO, compression bandages for curiosities and corrective orthopedic surgeries for significant leg length discrepancy. Treatment is palliative and symptomatic. No definite treatment available. </s>