Tufted angioma with Kasabach-Merritt syndrome mistaken for child abuse.
Forensic Sci Int
; 245: e15-7, 2014 Dec.
Article
en En
| MEDLINE
| ID: mdl-25459275
ABSTRACT
We report the case of a 2-month-old infant with a single apparently ecchymotic lesion on the shoulder that raised suspicions of abuse. The medicolegal examination concluded that the appearance of the lesion was only mildly suggestive of an ecchymosis. A second, temporally remote examination confirmed this doubt. The evolution of the lesion, notably an increase in its volume, allowed us to rule out a traumatic lesion and was suggestive of a vascular tumor. The histological type of the tumor was a tufted angioma. There was thrombocytopenia and consumptive coagulopathy. All these data confirmed the diagnosis of Kasabach-Merritt syndrome. In contrast to benign infantile hemangiomas, which are frequent and well-known in clinical practice, vascular tumors complicated by Kasabach-Merritt syndrome are rare. They deserve to be widely known because they mandate rapid medical management and because they are one of the only differential diagnoses of ecchymosis, especially in children. When there is doubt about the traumatic nature of a cutaneous lesion, a temporally remote examination is essential. The evolution of the lesion may then suggest a dermatologic origin.
Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Neoplasias Cutáneas
/
Síndrome de Kasabach-Merritt
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Hemangioma
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
Límite:
Humans
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Infant
/
Male
Idioma:
En
Revista:
Forensic Sci Int
Año:
2014
Tipo del documento:
Article