Case history

Case history

A 4-month-old white female infant presents with a rapidly growing red nodule on the scalp. The pregnancy was complicated by both premature delivery and advanced maternal age. The parents noticed a pink patch on the scalp at birth about 20 mm in diameter. By 2 months of age the lesion was raised and bright red, growing to about 24 mm in diameter. Over 2 months the lesion has doubled in size, now measuring 30 mm in diameter, and is tender, ulcerated, and bleeding.

Other presentations

Congenital haemangiomas are distinct from infantile haemangiomas.[14] These include vascular lesions that may have a similar clinical phenotype when compared with infantile haemangiomas, but are fully formed at birth. Specific subtypes of congenital haemangioma include rapidly involuting congenital haemangiomas and non-involuting congenital haemangiomas. Lesions can be distinguished histologically by the absence of staining with GLUT1, an endothelial cell marker that is present in haemangiomas of infancy.

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