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A newborn girl was transferred to this hospital because of a large cutaneous lesion, thrombocytopenia, and anemia.
The infant had been born at another hospital to a 33-year-old woman (gravida 2, para 1). She was delivered by cesarean section at 37 weeks' gestation. The Apgar scores were 9 at one minute and 9 at five minutes. The weight was 2470 g. A large, dark-red cutaneous lesion, 2.5 mm thick, covered much of the child's right hemithorax. Physical examination disclosed no other abnormalities. The oxygen saturation was 84 percent while the infant breathed ambient air. She was placed in a hood
Differential Diagnosis
Distinction between Kaposiform Hemangioendothelioma and Infantile Hemangioma
Other Congenital Vascular and Nonvascular Lesions
Abnormalities in Coagulation Associated with Vascular Lesions
Other Vascular Tumors Associated with the KasabachMerritt Phenomenon
Clinical Diagnosis
Dr. John B. Mulliken's Diagnosis
Pathological Discussion
Final Diagnosis
Discussion of Management
Thrombocytopenia in Infants with the KasabachMerritt Phenomenon
Treatment of Kaposiform Hemangioendothelioma
Mortality and Morbidity
Source Information
From the Division of Plastic Surgery, Craniofacial Center, and Vascular Anomalies Center, Children's Hospital (J.B.M.); the Department of Radiology (S.A.), Pediatric Service (R.A.B.E.), and the Department of Pathology, Division of Dermatopathology (M.C.M.), Massachusetts General Hospital; and the Departments of Surgery (J.B.M.), Radiology (S.A.), Pediatrics (R.A.B.E.), and Dermatology (M.C.M.), Harvard Medical School all in Boston.
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