title: Large multifocal cutaneous hemangioma along lines of Blaschko with cardiac failure treated with propranolol.
abstract: Hemangiomas are classified as focal or segmental according to the morphology and distribution of lesions. Congestive cardiac failure is frequently encountered in diffuse hepatic hemangiomas due to high-volume shunting and rarely in hemangiomas confined to the skin. We report here the case of a large multifocal hemangioma along the lines of Blaschko with high-output cardiac failure, with improvement in cutaneous and hemodynamic symptoms after propranolol therapy. Presentation along the lines of Blaschko raises the possibility of hemangiomas arising as a result of mosaicism.
authors.affiliation: Department of Dermatology, Chacha Nehru Bal Chikitsalaya, Delhi, India.
authors.forename: Deepshikha
authors.initials: D
authors.lastname: Khanna
authors.forename: Payal
authors.initials: P
authors.lastname: Chakravarty
authors.forename: Pooja
authors.initials: P
authors.lastname: Arora
authors.forename: Rahul
authors.initials: R
authors.lastname: Jain
authors.forename: Medha
authors.initials: M
authors.lastname: Mittal
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use*; D005260:Female; D006333:Heart Failure / Q000188:drug therapy* / Q000209:etiology; D006391:Hemangioma / Q000150:complications* / Q000473:pathology; D006801:Humans; D017495:Hyperpigmentation / Q000209:etiology / Q000473:pathology; D007223:Infant; D011433:Propranolol / Q000627:therapeutic use*; D012867:Skin / Q000473:pathology*; D012878:Skin Neoplasms / Q000150:complications* / Q000473:pathology; D016896:Treatment Outcome
chemical_list: D000319:Adrenergic beta-Antagonists; D011433:Propranolol