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Published on: June 11, 2019
Vascular neoplasia masquerading as cellulitis and persistent hemorrhagic pericardial effusion
Sharan Thangaraju1, Jay Relan2, Aditi Sinha1
1Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Abstract:
Tufted angioma and kaposiform hemangioendothelioma are considered to represent two ends of the spectrum of benign vascular neoplasms that predominantly present during infancy or early childhood. We report a rare case of a 5-month-old infant with complicated vascular neoplasm involving the pericardial cavity and skin over cervical region, masquerading as infective pericarditis with cellulitis. The patient responded dramatically to therapy with oral prednisolone and sirolimus, with a significant reduction of size of skin lesions and complete resolution of pericardial effusion over 8 weeks. The report also highlights the importance of a multidisciplinary team in managing such complicated cases.
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