title: Non-involuting congenital haemangioma of the eyelid: successful treatment with fluroscopic ultrasound guided sclerotherapy and surgical excision.
abstract: We present a case of non-involuting congenital haemangioma (NICH) of the right eyelid which was present at birth as a purpuric macule but increased in size to cause significant obstruction of vision. At four years of age the lesion was treated with fluroscopic ultrasound-guided sclerotherapy using 0.5% sodium tetradecyl suphate foam and surgically debulked 16 days later. Histopathology was negative for glucose transporter-1 stain confirming the diagnosis. The residual segments were subsequently treated in three further sessions of sclerotherapy in the ensuing three years. This treatment approach resulted in a good cosmetic and functional outcome with no associated complications. To our knowledge, this is the first published case of a histologically confirmed NICH treated primarily with sclerotherapy.
authors.affiliation: Department of Dermatology, Sydney Children's Hospital, Randwick, New South Wales, Australia.
authors.forename: E
authors.initials: E
authors.lastname: Christou
authors.forename: K
authors.initials: K
authors.lastname: Parsi
mesh_terms: D002648:Child; D002675:Child, Preschool; D003287:Contrast Media / Q000737:chemistry; D004727:Endothelium / Q000473:pathology; D005141:Eyelid Diseases / Q000151:congenital / Q000601:surgery* / Q000628:therapy*; D005260:Female; D005471:Fluoroscopy; D051272:Glucose Transporter Type 1 / Q000378:metabolism; D006391:Hemangioma / Q000151:congenital / Q000601:surgery* / Q000628:therapy*; D006801:Humans; D008279:Magnetic Resonance Imaging; D015911:Sclerotherapy; D012981:Sodium Tetradecyl Sulfate / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D019043:Vascular Neoplasms / Q000151:congenital / Q000601:surgery* / Q000628:therapy*
chemical_list: D003287:Contrast Media; D051272:Glucose Transporter Type 1; D012981:Sodium Tetradecyl Sulfate