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Contributor

Bernard Cohen, MD

Diagnosis

hemangioma hemangioma, rapidly involuting congenital

Body Site

back

Age

8 days

Pigmentation

medium

Organization

Color

purple red blue

Morphology

tumor

Pattern

solitary

Comments

This healthy 8-day infant was noted to have a large tumor on her back at birth. She developed transient thrombocytopenia to 50,000 (normal 150-250,000) prompting treatment with oral prednisolone 3 mg/kg/day for presumed Kassabach-Merritt syndrome. The tumor remained soft and compressible, and the platelet count returned to normal before discharge from the nursery intensive care unit 3 days later. Follow-up examination 10 days later revealed further involution of the lesion with normal blood count and platelet count, and the oral prednisone wwas tapered.

Description

large mushroom shaped red mass with overlying telangiectasias, central crusts and ulcerations, and surrounding pallor

Categories

neonatal dermatology lumps & bumps (plaques, nodules, tumors) neoplasm, benign

Image Added

9/3/2005 14:35:05

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Other Resources

PubMed Medline Plus Medscape

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