title: A deep-tissue hemangioma presenting as a rapidly progressive expanding mass and thrombocytopenia in an infant.
abstract: OBJECTIVE
  We present a case of Kasabach-Merritt syndrome with discussion of hemangiomas of childhood relevant to the emergency physician.
  
  
  METHODS
  This is a case report.
  
  
  METHODS
  The case is described in the setting of a tertiary care hospital level I pediatric emergency department.
  
  
  METHODS
  A single case is discussed.
  
  
  METHODS
  The patient's condition was diagnosed and referred to the appropriate hematology service. Methylprednisolone (2 mg/kg/day) therapy was instituted.
  
  
  CONCLUSIONS
  Children may present to the emergency department with a mass requiring diagnosis. The emergency physician must efficiently and economically identify the cause and complications from a variety of etiologies. Hemangiomas with complicating thrombocytopenia and microangiopathic hemolysis are rare and must be correctly identified. The emergency physician should occasionally review such unusual diagnoses to maintain their differential diagnosis skills.
authors.affiliation: University of Tennessee Medical School, Department of Emergency Medicine, Le Bonheur Children's Medical Center, Memphis, USA.
authors.forename: D G
authors.initials: DG
authors.lastname: Ward
authors.forename: W
authors.initials: W
authors.lastname: Wang
authors.forename: W
authors.initials: W
authors.lastname: Fesmire
authors.forename: W
authors.initials: W
authors.lastname: Salhab
mesh_terms: D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004211:Disseminated Intravascular Coagulation; D004630:Emergencies; D006391:Hemangioma / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D007223:Infant; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D013577:Syndrome; D013921:Thrombocytopenia / Q000188:drug therapy
chemical_list: D000893:Anti-Inflammatory Agents; D008775:Methylprednisolone