A common skin lesion

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الوصف الكامل Background: 

This 3 month old child was born with no remarkable lesions. a Few days thereafter, he developed a red, raised lesion in his lower eyelid which is becoming larger..
what's the likely dx?
What is the expected outcome for this lesion?

الشكوى الرئيسية CC: 

القصة المرضية HPI: 

الأجهزة الأخرى ROS: 

السوابق المرضية الشخصية PMH: 

السوابق المرضية العائلية FMH: 

الوضع الصحي والاجتماعي SH: 

الفحص السريري Clinical Exam: 

التشخيص التفريقي DD: 

الاستقصاءات Investigations: 

التدبير Managment: 

كتابة حرة وطرح موضوع النقاش!: 



I think this is a capillary angioma
and a total resolution is the rule



ورم وعائي دموي كهفي او توتي ؟؟



التشخيص ورم وعائي ...بداية منعمل scan لنشوف اذا في تشوهات وعائية تانية ضمن الدماغ .
ومنترك الورم لحاله بطيب في 70 % من الحالات .

صورة drhanadi


صحيح انو الشفاء عفوي في معظم الحالات ..لكن لابد من استشارة عينية ....

صورة ahmed-aj


Yes, it's capillary hemangioma (strawberry tumor).
Most of this tumors have a growth phase, then an involution phase and regress completely by age 5-7 yrs. If not regress or cause functional deformity, treatment is required..
In this case we fear Amblyopia if the lesion enlarges more, and then prompt therapy is required.

اقتباس:
التشخيص ورم وعائي ...بداية منعمل scan لنشوف اذا في تشوهات وعائية تانية ضمن الدماغ

CT brain is not needed in capillary hemangiomas, but it ll be so with some vascular malformations (port wine stain) When the lesion is involving the distribution of V1 branch of 5th nerve (sturge weber syndrome) and also ophthalmic consultation is required here b\o associated retinal anomalies..

صورة Ghufran


Treatment options are varied according to many factors (e.g. place, size, physician experience……….), include: Laser, surgical resection, embolization, cryotherapy, steroids, radiation...
By the way, there is a rare, dangerous complication associate large hemangiomas, do u know it?

صورة Ghufran


اقتباس:
there is a rare, dangerous complication associate large hemangiomas, do u know it?

MAYBE HEMORRHAGE OR HEART FAILU[=blue]RE



اقتباس:
By the way, there is a rare, dangerous complication associate large hemangiomas, do u know it?

it's Kasabach Merritt phenomenon which results from large, deep, rapidly growing hemangiomas. it's characterized by anemia, thrombocytopenia,& coagulopathy.
it requires aggresive treatment and carries a significant mortality rate.
In the other hand, ulceration is a common complication for hemangiomas and cause minimal bleeding.
heart failure may be part of Kasabach merritt

صورة Ghufran


اقتباس:
sturge weber syndrome

congenital glucoma+ seizures
is there another things????Rolling Eyes Rolling Eyes

صورة moonberg


sturge weber: port wine stain, glaucoma, leptomenings vascular malformation, seziures, mental retardation, brain calcification

صورة Ghufran


اقتباس:
port wine stain

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