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Diffuse hepatic hemangioma with single cutaneous hemangioma: an alerting occurrence
Faten Al Tasseh1, Merna El-Khansa1, Omran Abd2
1Department of Pediatrics Makassed General Hospital Beirut Lebanon.
Insights
Infants with even a single cutaneous hemangioma may develop diffuse hepatic hemangioma. Physical examination and abdominal ultrasound are crucial for early detection in at-risk infants.
Area of Science:
- Pediatric Medicine
- Dermatology
- Radiology
Background:
- Infantile hemangiomas are common benign vascular tumors in infants.
- Abdominal ultrasound screening is often recommended for infants with multiple (≥5) cutaneous infantile hemangiomas to detect hepatic involvement.
Observation:
- Diffuse hepatic hemangioma can occur in infants with only a single cutaneous infantile hemangioma.
- This challenges the current screening recommendations based solely on the number of cutaneous lesions.
Findings:
- The presence of hepatic hemangioma is not strictly correlated with the number of cutaneous infantile hemangiomas.
- A single cutaneous infantile hemangioma can be associated with visceral involvement.
Implications:
- Emphasizes the critical role of thorough physical examination in all infants with infantile hemangiomas, regardless of lesion count.
- Suggests considering screening abdominal ultrasound for a broader range of infants, including those with solitary cutaneous lesions, to prevent potential complications from undiagnosed hepatic hemangioma.
Abstract:
Screening of infants with five or more cutaneous infantile hemangiomas with abdominal ultrasound is often recommended. However, diffuse hepatic hemangioma can develop even in patients with single cutaneous hemangioma. This highlights the importance of physical examination and screening ultrasound in these patients.
