Posterior Mediastinal and Cutaneous Back Hemangiomas in Infants: A New Association

Abstract

Infantile hemangiomas (IHs) are common vascular tumors. In most cases, a benign course with favorable outcome can be anticipated. IH typically present as cutaneous lesions either with a localized or diffuse segmental distribution. Segmental hemangiomas in the face may be associated with brain and cardiac anomalies (PHACES syndrome), whereas airway involvement has been reported to be associated with hemangiomas in the “beard” area. Multiple cutaneous hemangiomas may be associated with visceral hemangiomas (commonly in the liver).In this report, we present a new association where deep paravertebral hemangiomatous lesions were observed to be associated with cutaneous back hemangiomas in two consecutive cases.

Mediastinal infantile hemangioma with spinal canal extension and extensive gastrointestinal involvement complicated by respiratory failure

“…Similarly unusual is the co‐existence of CH, which has been reported previously in few case reports, none with the multiorgan involvement of IH noted in this patient 16,17 . Interestingly, a recent report describes two patients with similar cutaneous lesions on their back and comparable diffuse mediastinal and visceral involvement 18 . However, in those cases, the back lesions followed a typical pattern of rapid growth, stability, and regression seen with IH, rather than our patient's presentation with a stable lesion since birth.…”

“…This case highlights the significant variability in appearance, presentation, and complications of IH, and may represent the spectrum of association of cutaneous back hemangioma with mediastinal and diffuse visceral involvement described by AbouZied et al 18 It also…”