Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome

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11Specialists8Treatment centers

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UniteRare data is sourced from FDA.gov, ClinicalTrials.gov, Orphanet, OMIM, and NORD.
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Overview

Multifocal lymphangioendotheliomatosis with thrombocytopenia (MLT), also known as cutaneovisceral angiomatosis with thrombocytopenia, is an extremely rare vascular disorder that is usually present at birth or develops in early infancy. In this condition, abnormal blood vessel growths (vascular lesions) form in multiple areas of the body, including the skin and the gastrointestinal (GI) tract. These lesions are made up of unusual cells that line blood and lymph vessels. A hallmark feature of MLT is a low platelet count (thrombocytopenia), which means the blood does not clot properly. This can lead to serious and sometimes life-threatening bleeding, especially from the GI tract. Babies and young children with MLT typically show red or reddish-brown skin spots or bumps that may bleed easily. Internal bleeding from the stomach or intestines can cause bloody stools, anemia, and the need for blood transfusions. The GI bleeding can be chronic and difficult to manage. Some children also develop bleeding in other organs. There is currently no cure for MLT. Treatment focuses on managing symptoms, particularly controlling bleeding episodes and maintaining adequate blood counts through transfusions. Various medications have been tried, including drugs that target blood vessel growth (such as sirolimus and bevacizumab), corticosteroids, and other therapies, but responses vary from patient to patient. Because the disease is so rare, treatment approaches are still evolving and are often tailored to each individual child's needs.

Also known as:

Key symptoms:

Red or reddish-brown skin spots or bumpsLow platelet count (thrombocytopenia)Gastrointestinal bleeding (bloody stools)Anemia from chronic blood lossEasy bruisingMultiple vascular lesions on the skinInternal bleeding from the stomach or intestinesNeed for frequent blood transfusionsPale skin due to anemiaFatigue and weaknessSkin lesions that may bleed when touched or injuredPoor weight gain or failure to thrive

Clinical phenotype terms (46)— hover any for plain English
Abnormal skin morphologyHP:0011121Abnormal gastrointestinal tract morphologyHP:0012718Abnormal vascular morphologyHP:0025015Abnormal lung morphologyHP:0002088Abnormal peripheral nervous system morphologyHP:0000759Morphological central nervous system abnormalityHP:0002011HematemesisHP:0002248
Inheritance

Sporadic

Usually appears on its own, not inherited from a parent

Age of Onset

Neonatal

Begins at or shortly after birth (first 4 weeks)

Orphanet ↗NORD ↗

FDA & Trial Timeline

10 events
Dec 2026Effect of Melatonin on Left Ventricular Reverse Remodeling and Inflammation in Peripartum Cardiomyopathy

Tanta University — NA

TrialNOT YET RECRUITING
Jul 2026Comparing Two Doses of Oral Melatonin as Premedication in Children Undergoing Surgery

Al-Azhar University — NA

TrialRECRUITING
Apr 2026Cardioprotective Effect of Melatonin Versus Vitamin D in Breast Cancer Patients Receiving Doxorubicin

Tanta University — NA

TrialNOT YET RECRUITING
Mar 2026The Effect of Adjunctive Melatonin With Colistin in Patients With Multidrug-Resistant Gram-Negative Bacterial Infections

Ain Shams University — PHASE3

TrialNOT YET RECRUITING
Mar 2026Effect of 1% Melatonin Gel Versus Calcium Hydroxide as an Intracanal Medicament on the Intensity of Postoperative Pain, Bacterial Load Reduction and Periapical MMP-9 Levels in Patients With Necrotic Pulp.

Cairo University — NA

TrialNOT YET RECRUITING
Mar 2026Melatonin Versus Placebo for Bipolar Disorder

Lars Vedel Kessing — PHASE2

TrialNOT YET RECRUITING
Mar 2026Melatonin vs Midazolam in Children Undergoing Tonsillectomy

Ain Shams University — PHASE3

TrialNOT YET RECRUITING
Mar 2026Effect of Esketamine on Postoperative Sleep in Postmenopausal Women

Zhuan Zhang — NA

TrialNOT YET RECRUITING
Feb 2026Effect of Melatonin on Oxidative Stress Parameters in Levodopa-Treated Parkinson's Disease Patients

Bangladesh Medical University — PHASE2

TrialENROLLING BY INVITATION
Feb 2026Blue-blocking Glasses for Sleep Disorders in Child and Adolescent Psychiatry

Helse Fonna — NA

TrialNOT YET RECRUITING

Data sourced from FDA regulatory filings and ClinicalTrials.gov. Updated periodically.

Treatments

No FDA-approved treatments are currently listed for Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome.

View clinical trials →

No actively recruiting trials found for Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome at this time.

New trials open frequently. Follow this disease to get notified.

Search ClinicalTrials.gov ↗Join the Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome community →

Specialists

11 foundView all specialists →
BM
Beth Drolet, MD
MADISON, WI
Specialist
PI on 4 active trials
MJ
Muhammad Irfan Jamil
Specialist
PI on 3 active trials13 Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome publications
RM
Reena Mehra, MD
SEATTLE, WA
Specialist
PI on 2 active trials
LP
Luigi Brunetti, PhD
OVERLAND PARK, KS
Specialist
PI on 2 active trials
JP
José Alegre, MD, PhD
Specialist
PI on 2 active trials

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome.

Search all travel grants →NORD Financial Assistance ↗

Community

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Latest news about Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome

Disease timeline:

New recruiting trial: Buspirone and Melatonin for Depression Following Traumatic Brain Injury

A new clinical trial is recruiting patients for Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome

New recruiting trial: Testing Effects of Melatonin on Uterine Contractions in Women

A new clinical trial is recruiting patients for Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome

New recruiting trial: Effect of Melatonin in Patients With Diabetic Peripheral Neuropathy

A new clinical trial is recruiting patients for Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome

New recruiting trial: Sleep and Light Intervention (SALI) for Menopausal Mood Dysfunction

A new clinical trial is recruiting patients for Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome

New recruiting trial: Melatonin for Prevention of Kidney Injury

A new clinical trial is recruiting patients for Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome

New recruiting trial: Sleep, Diabetic Retinopathy and Melatonin

A new clinical trial is recruiting patients for Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome

New recruiting trial: The Use of Sublingual Melatonin Premedication in Geriatric Cataract Surgery

A new clinical trial is recruiting patients for Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome

New recruiting trial: Efficacy of Melatonin, Low-dose Quetiapine, or Placebo in Patients With Psychiatric Disorders and Comorbid Insomnia

A new clinical trial is recruiting patients for Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome

New recruiting trial: The Role of Melatonin as an Adjuvant Therapy in Childhood Pneumonia

A new clinical trial is recruiting patients for Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome

New recruiting trial: Comparative Evaluation of Melatonin Versus MTA on Vital Pulp Therapy in Young Permanent First Molars: An in Vivo Study

A new clinical trial is recruiting patients for Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome

Caregiver Resources

NORD Caregiver Resources

Support, advocacy, and financial assistance for caregivers of rare disease patients.

Mental Health Support

Rare disease caregiving can be isolating. Connect with counseling and peer support.

Family & Caregiver Grants

Financial assistance programs specifically for caregivers of rare disease patients.

Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.How severe is my child's condition, and what organs are affected?,What treatment options are available, and what are the risks and benefits of each?,How often will my child need blood or platelet transfusions?,What signs of bleeding should I watch for at home, and when should I go to the emergency room?,Are there any clinical trials or new therapies being studied for this condition?,Should we be seen at a specialized vascular anomalies center?,What activities should my child avoid, and how can we support normal development?

Common questions about Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome

What is Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome?

Multifocal lymphangioendotheliomatosis with thrombocytopenia (MLT), also known as cutaneovisceral angiomatosis with thrombocytopenia, is an extremely rare vascular disorder that is usually present at birth or develops in early infancy. In this condition, abnormal blood vessel growths (vascular lesions) form in multiple areas of the body, including the skin and the gastrointestinal (GI) tract. These lesions are made up of unusual cells that line blood and lymph vessels. A hallmark feature of MLT is a low platelet count (thrombocytopenia), which means the blood does not clot properly. This can l

How is Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome inherited?

Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome follows a sporadic inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome typically begin?

Typical onset of Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome is neonatal. Age of onset can vary across affected individuals.

Which specialists treat Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome?

11 specialists and care centers treating Multifocal lymphangioendotheliomatosis-thrombocytopenia syndrome are listed on UniteRare, sourced from ClinicalTrials.gov principal investigators, published research, and the NPPES NPI registry.