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Multiple cutaneous hemangiomas can be associated with internal hemangiomas, with the liver being the most common site. Here we report a case of a premature female neonate who presented with cardiac failure at birth and had typical-appearing infantile hemangiomas on the skin in association with vascular lesions in the liver. Her clinical presentation was felt to be consistent with cutaneous and hepatic infantile hemangiomas. After failure to respond to systemic steroids and chemotherapy, she underwent liver transplantation. Histopathologic evaluation of the liver revealed a diagnosis of type 2 infantile hepatic hemangioendothelioma (regarded as synonymous with angiosarcoma) rather than benign infantile hemangioma of the liver. Subsequent skin biopsies confirmed that her multiple cutaneous lesions were infantile hemangiomas and not metastatic angiosarcoma. We report this case and a review of the literature on pediatric angiosarcoma of the liver associated with cutaneous infantile hemangiomas.

Sexual and gender minority (SGM) patients face many health challenges, including higher burdens of skin cancer, sexually transmitted diseases, and complications associated with hormone therapy or gender-affirming surgery. 1 Improving clinician knowledge of SGM patients' health needs may improve quality of care for this population. 2 The goal of this study was to assess what SGMspecific health topics are covered in dermatology residency programs to identify possible gaps and guide improvements.Methods | In August 2018, a web-based survey (eAppendix in the Supplement) was sent to the 123 US dermatology residency programs represented by the Association of Professors of Dermatology listserv (electronic mailing list), requesting 1 response per program. The survey was adapted from surveys used to assess SGM residency curricula in other medical specialties 3,4 and included questions about residency demographic characteristics, integration of SGM content, importance of SGM-specific training, barriers to integration, and opinions on best ways to incorporate SGM-specific topics. This study was deemed exempt by the Stanford University Institutional Review Board as the study incurred no more than minimal risk and involved research on established or commonly accepted educational settings. Written informed consent was obtained by each participant prior to completing the survey instrument.Descriptive statistics were used to report program demographic and curricular information. Missing survey question responses were excluded from analyses.

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