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Deep forehead lipomas in children-A series and review
Carol Hlela1, Anthony J Mancini1,2,3
1Division of Dermatology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Insights
Deep forehead lipomas in children are rare and can mimic other masses. This study highlights their associations, including intracranial lipomas and alopecia, important for accurate diagnosis.
Area of Science:
- Pediatric Surgery
- Dermatology
- Neurology
Background:
- Deep forehead lipomas are uncommon pediatric soft tissue tumors.
- They can be misdiagnosed as more serious conditions.
- Early diagnosis and understanding associations are crucial.
Observation:
- Four pediatric cases of deep forehead lipomas are presented.
- Diagnoses occurred between 2 months and 1 year of age.
- Three cases were congenital.
Findings:
- One patient had associated intracranial lipoma and seizures.
- Another patient developed significant overlying alopecia.
- Alopecia and extracutaneous involvement are notable associations.
Implications:
- Deep forehead lipomas require careful evaluation to rule out other pathologies.
- Associated alopecia and intracranial lipomas are important clinical findings.
- Understanding these associations aids in pediatric patient management and prognosis.
Abstract:
Deep forehead lipomas are rare in children and may be confused with other more concerning soft tissue masses. We describe four children with deep forehead lipomas, diagnosed between 2 months and 1 year of age, three of them congenital. Notable findings included association with intracranial lipoma and seizures in one patient and the development of marked alopecia overlying the lipoma in another. While deep forehead lipomas may become less visible over time, alopecia and non-syndromic extracutaneous involvement may be important associations.
