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Published on: October 14, 2011
'PHACE' on the 'face'
Ie Lien Romero1, Chia Saw2,3, Noel David Friesen2,3
1School of Medicine, The University of Notre Dame Australia, Fremantle, Western Australia, Australia ielien.romero@outlook.com.
Insights
Large facial infantile haemangiomas in infants may signal PHACE syndrome, a rare neurocutaneous disorder. Early diagnosis and multidisciplinary management are crucial for affected children.
Area of Science:
- Pediatrics
- Dermatology
- Genetics
Background:
- Infantile haemangiomas are common benign vascular tumors in infants.
- Large facial haemangiomas (≥5 cm) can be associated with serious underlying conditions.
- PHACE syndrome is a neurocutaneous disorder characterized by specific malformations and defects.
Purpose of the Study:
- To report an unusual case of possible PHACE syndrome in a young male toddler.
- To discuss the clinical assessment and diagnostic approach for PHACE syndrome.
- To highlight the importance of a multidisciplinary approach for managing large facial haemangiomas.
Main Methods:
- Case report of a young male toddler with a large facial haemangioma.
- Review of clinical presentation and diagnostic workup for PHACE syndrome.
- Discussion of standardized guidelines for managing large facial haemangiomas.
Main Results:
- The case presented an unusual manifestation of potential PHACE syndrome.
- Diagnosis and management of PHACE syndrome require careful clinical evaluation.
- A multidisciplinary team is essential for comprehensive patient care.
Conclusions:
- Large facial haemangiomas warrant thorough investigation for PHACE syndrome.
- Awareness of PHACE syndrome's clinical spectrum is critical for timely diagnosis.
- Standardized guidelines and a collaborative approach improve outcomes for PHACE syndrome patients.
Abstract:
Infantile haemangiomas are a common presentation in infants within the first few months of life. The majority of haemangiomas are benign; however, large haemangiomas (≥5 cm), especially those involving the face, may indicate a more serious underlying neurocutaneous disorder known as PHACE (Posterior fossa malformations, Haemangioma, Arterial anomalies, Coarctation of the aorta/Cardiac defects and Eye abnormalities) syndrome. The authors report an unusual case of possible PHACE syndrome in a young male toddler with a large facial haemangioma. Diagnosing and managing PHACE syndrome is a complex task, as it requires a multidisciplinary approach, awareness of the clinical presentation and access to standardised guidelines to approach large facial haemangiomas. We will discuss the clinical assessment and diagnostic approach to PHACE syndrome in a metropolitan paediatric outpatient setting in Western Australia.
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