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An ulcerated giant segmental hemangioma resulting in contracture of the left elbow

Alexander K C Leung1, Kin Fon Leong2, Joseph M Lam3

  • 1Department of Pediatrics, The University of Calgary, and the Alberta Children's Hospital, Calgary, Alberta.

Paediatrics & Child Health
|March 22, 2021
PubMed

Insights

A rare case of infantile hemangioma led to elbow contracture despite standard treatments. This study highlights a previously unreported complication of infantile hemangiomas in infants.

Area of Science:

  • Pediatric dermatology
  • Vascular anomalies
  • Orthopedic complications

Background:

  • Infantile hemangiomas are common benign vascular tumors in infants.
  • Most infantile hemangiomas resolve spontaneously without intervention.
  • Ulcerated and large infantile hemangiomas may require active management.

Purpose of the Study:

  • To report a case of elbow contracture secondary to a giant segmental infantile hemangioma.
  • To discuss the management challenges and potential complications of infantile hemangiomas.

Main Methods:

  • Case report of a 4-month-old infant with a left upper limb infantile hemangioma.
  • Documentation of treatment modalities including oral propranolol, wound care, and physiotherapy.
  • Assessment of clinical outcomes and development of complications.

Main Results:

  • The infant presented with an ulcerated giant segmental infantile hemangioma of the left upper limb.
  • Despite comprehensive treatment, the infant developed a left elbow contracture.
  • This represents a previously undocumented complication associated with infantile hemangiomas.

Conclusions:

  • Infantile hemangiomas, even with treatment, can lead to significant complications like contractures.
  • Aggressive or giant infantile hemangiomas may require novel treatment approaches.
  • Further research is needed to understand and prevent such orthopedic sequelae.

Keywords:
ContractureInfantile hemangiomasPropranololSegmentalUlceration

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