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An infant with a facial hemangioma and more

Geoffrey L Heyer1, Maria C Garzon

  • 1Department of Neurology, Columbia University, New York, NY, USA. Geoffrey.Heyer@nationwidechildrens.org

Seminars in Pediatric Neurology
|December 17, 2008
PubMed

Insights

PHACES syndrome is a rare neurocutaneous disorder. Prompt diagnosis and a multidisciplinary approach are crucial for managing infantile hemangiomas and associated extracutaneous features.

Area of Science:

  • Neurocutaneous disorders
  • Pediatric dermatology
  • Vascular anomalies

Background:

  • Infantile hemangiomas are common benign vascular tumors in children.
  • Segmental infantile hemangiomas may indicate a systemic condition.
  • Early recognition is key for timely intervention.

Observation:

  • A case of PHACES syndrome is presented, featuring large facial infantile hemangiomas.
  • Associated abnormalities included brain, cerebral vasculature, eyes, aorta, heart, and chest wall.
  • The patient exhibited characteristic facial hemangioma with extracutaneous manifestations.

Findings:

  • PHACES syndrome diagnosis requires a facial infantile hemangioma and at least one extracutaneous feature.
  • Comprehensive diagnostic workup is recommended for all children with segmental infantile hemangiomas.
  • Multidisciplinary evaluation involving dermatology, cardiology, ophthalmology, radiology, and neurology is essential.

Implications:

  • This case highlights the importance of a thorough evaluation for infantile hemangiomas.
  • A multidisciplinary approach improves diagnostic accuracy and patient management.
  • Early identification and management of PHACES syndrome can prevent severe complications.

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