A 6-Month-Old Girl with Infantile Hemangioma of Left Lower Limb, a Case Report

Document Type: Case Report

Authors

1 Associate Professor Of Pediatrics Hematology & Oncology Pediatric Congenital Hematologic Disorder Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Assistant Professor Of Pediatrics Hematology & Oncology, Thalassemia Research Center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran

Abstract

Introduction: Hemangiomas are the most common tumors of infancy and infantile hemangiomas are the most common vascular tumors. The etiology of this tumor is unknown. Hemangiomas commonly occur in the skin followed by the deep tissues (intramuscular) and rarely within bones.
Case Presentation: Hereby, the case of a 6-month-old girl whose whole left lower limb from thigh to ankle was involved with Hemangioma is reported. She had thrombocytopenia in lab data and abnormal coagulations profile. Biopsy was performed and treatment started base on diagnosis (Hemangioma). One month later, the swelling mildly decreased and platelet count raised.
Conclusions: Small hemangiomas do not need any treatment and are resolved spontaneously. However, gross or complicated hemangiomas need medical or surgical treatment. Propranolol, systemic glucocorticoids, vincristine and interferon alfa are alternative agents for medical treatment. Finally, surgical techniques, such as resection or amputation of limb, may still be the mainstay of treatment for lesions that do not respond.

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