Diffuse neonatal hemangiomatosis

Abstract

Multiple cutaneous hemangiomas of the skin have commonly been recognized as a marker to potentially life-threatening visceral hemangiomas. When cutaneous hemanigomas coexist with visceral hemangiomas, a rare condition known as diffuse neonatal hemangiomatosis is formed. Hemangiomas appear to form sporadically. Sonography is the initial imaging modality of choice. The advantages of sonography are that it is noninvasive, portable, and less expensive. An infant girl presented at 1 week of age with three cutaneous hemangiomas located on her left cheek, shoulder, and chest. A routine sonogram of the patient's liver demonstrated several well-marginated, hypoechoic lesions within the liver. The pediatrician was notified, and a series of bi-weekly sonograms and steroid therapy were started. In this case, steroid therapy was successful, and the patient currently has no problems with hemangiomas.