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 the size of a nickel on the scalp at birth. By 2 months of age the lesion was raised and bright red, growing to the size of a quarter. Over 2 months the lesion has doubled in size, now measuring 3 cm x 3 cm, and is tender, ulcerated, and bleeding.
Other presentations
Congenital hemangiomas are distinct from infantile hemangiomas.[14] These include vascular lesions that may have a similar clinical phenotype when compared with infantile hemangiomas, but are fully formed at birth. Specific subtypes of congenital hemangiomas include rapidly involuting congenital hemangiomas and non-involuting congenital hemangiomas. Lesions can be distinguished histologically by the absence of staining with GLUT1, an endothelial cell marker that is present in hemangiomas of infancy.
Use of this content is subject to our disclaimer