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Case report: Subutaneous hemangiomatosis causing Kasabach-Merritt syndrome - MRI features
Tarun P Jain1, Raju Sharma, Rohini Gupta
1Department of Radiology, All India Institute of Medical Sciences, New Delhi - 110 029, India.
The Indian Journal of Radiology & Imaging
|September 24, 2009
Summary
Hemangiomatosis involves widespread hemangioma infiltration. Kasabach-Merritt syndrome, a complication, causes low platelets and clotting issues, as seen in a pediatric case study.
Area of Science:
- Medical Imaging
- Pediatric Oncology
- Hematology
Background:
- Hemangiomatosis is a rare condition characterized by diffuse hemangioma infiltration of soft tissues or bone.
- Kasabach-Merritt syndrome is an infrequent complication associated with large hemangiomas, leading to thrombocytopenia and coagulopathy.
Purpose of the Study:
- To present a case of a pediatric patient diagnosed with hemangiomatosis and Kasabach-Merritt syndrome.
- To highlight the diagnostic utility of MRI in evaluating hemangiomatosis.
Main Methods:
- Review of clinical presentation and diagnostic imaging findings.
- Magnetic Resonance Imaging (MRI) as the primary diagnostic modality.
- Plain radiography for initial assessment of bone and soft tissue abnormalities.
Main Results:
- The case involved a 2-year-old child with diffuse hemangiomatosis.
- The patient presented with symptoms consistent with Kasabach-Merritt syndrome, including thrombocytopenia and coagulopathy.
- MRI provided detailed visualization of the extent of hemangioma infiltration.
Conclusions:
- Hemangiomatosis requires comprehensive evaluation, with MRI being the investigation of choice.
- Early recognition and management of Kasabach-Merritt syndrome are crucial in pediatric cases of hemangiomatosis.
- This case underscores the importance of advanced imaging in diagnosing rare pediatric conditions.
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