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A rare case of Kasabach Merritt Syndrome presenting with an infantile hemangioma: A case report
Abdullah Alghobaishi1,2, Ahmed Hafez Mousa3,2, Haleema Sami Almonaye3,2
1Department of Pediatrics, Pediatrics Critical Care Medicine, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
Introduction:
and importance: Infantile hemangioma, being a benign tumor of the blood vessel, is part of a triad composed of also thrombocytopenia and hypofibrinogenemia as part of Kasabach Merrit Syndrome.
Case Presentation:
We report the case of a 2 months old female Saudi infant referred due to respiratory distress, thrombocytopenia, and enlarging hemangioma on right upper chest, neck, and lower cheek. Diagnosis of kaposiform hemangioendothelioma complicated by Kasabach Merritt thrombocytopenia was done based on the clinical triad of thrombocytopenia, bleeding tendency, and the presence of a vascular tumor.
Conclusion:
Vincristine and CTA embolization are lines of management that showed to be the most efficient in the improvement of the clinical picture of KMS in our patient.
