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Images in Paediatrics
Segmental infantile hemangioma: Syndromic until proven otherwise
Hemangioma infantil segmentario: sindrómico hasta demostrar lo contrario
Julio César Moreno-Alfonsoa,b,
Corresponding author
juliomoreno.md@gmail.com

Corresponding author.
, Sara Hernández Martína, Lidia Ayuso Gonzáleza, Alberto Pérez Martíneza
a Cirugía Pediátrica, Hospital Universitario de Navarra, Pamplona, Navarra, Spain
b Doctoral School, Universidad Pública de Navarra, Pamplona, España
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A newborn aged 18&#8239;h with normal prenatal ultrasound scans and a history of maternal gestational diabetes and preeclampsia was referred for assessment of an extensive &#8220;vascular lesion&#8221;&#46; The patient had labioscrotal folds containing testes and a micropenis with interscrotal hypospadias&#46; The anus was displaced anteriorly and mildly stenotic&#44; but surrounded by sphincter tissue&#46; Vascular anomalies were present in the lower extremities&#44; perineum and lumbosacral region&#44; which was compatible with segmental haemangioma &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#44; in addition to a lumbosacral skin tag &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; The suspicion of LUMBAR syndrome was confirmed by magnetic resonance imaging&#44; which showed a tethered cord&#44; lipomyeloschisis and hydrosyringomyelia &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#46; The perineal haemangioma ulcerated at 1 month post birth and required treatment with propranolol &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D&#41;&#44; with a favourable response &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>E&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Infantile haemangiomas are the most common benign vascular tumours in children &#40;2&#37;&#8211;10&#37;&#41; and usually present as isolated cutaneous lesions&#44; although they may occur in the context of different syndromes&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The acronym LUMBAR refers to the presence of segmental infantile haemangioma in the lower body associated with other cutaneous defects&#44; urogenital anomalies&#44; myelopathy&#44; bone deformities&#44; anorectal malformations and renal and arterial anomalies&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The detection of segmental haemangiomas or haemangiomas larger than 2&#46;5&#8239;cm in the lower body requires differential diagnosis with spinal cord&#44; genitourinary and anorectal anomalies to prevent irreversible sequelae and ensure appropriate multidisciplinary management&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p></span>"
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Anales de Pediatría (English Edition)