Paeds Cases · fetal-neonatal-and-perinatal
Neonatal skin disorders and birthmarks — case
Long case and communication station on a newborn with a segmental facial haemangioma and PHACE considerations.
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RACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
A 10-week-old infant with a large segmental facial haemangioma, referred to the general paediatric clinic by the family doctor, with an anxious family seeking a plan and a prognosis.
Candidate brief
You are the general paediatric registrar in clinic. Mrs A brings her 10-week-old daughter, Mia, who has a large red mark over the right side of the face that appeared at two weeks and has grown steadily. The family doctor diagnosed an infantile haemangioma and referred for a plan. Mia feeds and grows normally, but Mrs A is distressed about the appearance and frightened it will not go away. Take a focused history, examine, present your synthesis, and outline your management and counselling. [4]
References5ShowHide
- [1]Mulliken JB, Glowacki J Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plastic and Reconstructive Surgery, 1982.PMID 7063565
- [4]Darrow DH, Greene AK, Mancini AJ, Nopper AJ (AAP) Diagnosis and management of infantile hemangioma. Pediatrics, 2015.PMID 26416931
- [5]Drolet BA, Frommelt PC, Chamlin SL, et al Initiation and use of propranolol for infantile hemangioma: report of a consensus conference. Pediatrics, 2013.PMID 23266923
- [8]Metry DW, Haggstrom AN, Drolet BA, et al Consensus statement on diagnostic criteria for PHACE syndrome. Pediatrics, 2009.PMID 19858157
- [9]Shirley MD, Tang H, Gallione CJ, et al Sturge-Weber syndrome and port-wine stains caused by somatic mutation in GNAQ. New England Journal of Medicine, 2013.PMID 23656586