On the basis of examination findings and appearance of the lesion, progressing strawberry hemangioma was diagnosed, with continued concern for an underlying neural tube/spinal cord defect. The baby was admitted for initiation of oral propranolol to treat the hemangioma and for MRI of the lumbar spine.
Infantile hemangiomas are the most common vascular tumors of infancy, affecting 5% of infants in the United States. They most commonly occur in the head and neck region; the trunk and extremities are the next most common location.
The evolution of infantile hemangiomas is characterized by a rapid proliferation phase, which is followed by prolonged involution. Although most infantile hemangiomas are managed by observation, about 10% are associated with complications and require intervention. These complications may include infection, ulceration, bleeding, pain, and vision or airway compromise.
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Cite this: Dan Beardmore, Saba Fatima. A Newborn Infant With a Lumbar Lesion and Dermal Defect - Medscape - May 15, 2018.