Subglottic hemangioma associated with cutaneous and cerebellar hemangiomas detected by MRI: report of one case.
Subglottic hemangioma (SGH) is a benign neoplasm that may cause severe and life-threatening respiratory obstruction in infants. However, patients usually present with inspiratory stridor in the first few months of life and may be mistakenly diagnosed as recurrent or persistent croup. Definitive diagnosis is made by image studies, endoscopic examination and biopsy or all. We report a 2-month-old female infant of SGH with initial clinical manifestations of dyspnea and inspiratory stridor co-existing with cutaneous and cerebellar hemangiomas. Clinicians must be alert the possibility of SGH when associated with cutaneous hemangioma. This patient has received oral steroid treatment for more than two months with improvement of the airway obstruction. Although purplish patch lesions over left side of face, eyelid, cheek, and peri-oral regions regressed, the size of the SGH on the followed MRI was slightly enlarged. The diagnosis and various treatments of SGH are discussed and reviewed in this paper.
Fan
H C
HC
Department of Pediatrics, Tri-Service General Hospital, Taipei, Taiwan.
Hung
C H
CH
Juan
C J
CJ
Hsu
M L
ML
Huang
C F
CF
Tsai
Y G
YG
Harn
H J
HJ
Yuh
Y S
YS
Cheng
S N
SN
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D002528:Cerebellar Neoplasms / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006391:Hemangioma / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000628:therapy; D014062:Tongue Neoplasms / Q000175:diagnosis* / Q000628:therapy
D000305:Adrenal Cortex Hormones