Wright Joshua, Metts Jonathan, Monforte Hector, Francis Christopher, Halsey Jordan
Division of Plastic and Reconstructive Surgery, Johns Hopkins All Children's Hospital, St. Petersburg, Florida.
Cancer and Blood Disorders Institute, Johns Hopkins All Children's Hospital, St. Petersburg, Florida.
Eplasty. 2024 Apr 18;24:e20. eCollection 2024.
Infantile hemangiomas are commonly encountered at all levels of medical practice. Clinicians should be aware of their typical clinical history and findings in order to expedite early diagnosis and management. It is also necessary to be aware of differential diagnoses that may mimic infantile hemangiomas but have a more concerning prognosis. The objective of this report is to describe the clinical case of one such mimic, dermatofibrosarcoma protuberans. This report highlights key clinical findings of infantile hemangiomas, while also identifying "red flags" that necessitate urgent additional investigations and referral to a multidisciplinary team. Additionally, key features in the management of both infantile hemangiomas and extremity masses are discussed.
婴儿血管瘤在各级医疗实践中都很常见。临床医生应了解其典型的临床病史和表现,以便加快早期诊断和治疗。还必须了解可能模仿婴儿血管瘤但预后更令人担忧的鉴别诊断。本报告的目的是描述一种这样的模仿疾病——隆突性皮肤纤维肉瘤的临床病例。本报告突出了婴儿血管瘤的关键临床发现,同时也识别出需要紧急进一步检查并转诊至多学科团队的“危险信号”。此外,还讨论了婴儿血管瘤和肢体肿块治疗中的关键特征。