Multifocal infantile hemangioma with hepatic damage and heart failure

Velásquez-Valderrama F.; Ballona-Chambergo R.; Condori-Fernández Y. · Dermatologia Revista Mexicana (2020)

Resumen

BACKGROUND: Infantile hemangioma is the most common benign tumor of infancy with an incidence of 4 to 10% in children under one year of age. According to its depth, it is classifed as superficial, deep and mixed, and according to its pattern, shape or distribution in focal, segmental, indeterminate and multifocal. The presence of more than fve cutaneous hemangiomas forces us to rule out visceral involvement, liver is the most frequent location. Multifocal hepatic hemangiomas can produce significant mortality due to complications such as heart failure. CLINICAL CASE: A 1-month-old female patient with multiple (835) superficial cutaneous hemangiomas of universal distribution with multifocal hepatic involvement and heart failure associated to an atrial septal defect at birth. CONCLUSION: The identification of multifocal hemangiomas should alert us about the possibility of visceral involvement and its complications, we must perform a multidisciplinary approach as well as early treatment with close monitoring, in order to improve the prognosis and quality of life of patients.

Instituciones: Universidad Privada San Juan Bautista