Dermatology

Question 1

What types of hemangiomas should prompt more work-up for an associated syndrome?

Answer 1

• ≥ 5 cutaneous IH’s - risk of visceral IH - liver most common
• Beard area/midline neck - risk of airway IH’s
• Large Segmental facial lesions (≥ 5cm) - PHACE
• Lumbosacral / Perineal Segmental - LUMBAR syndrome

Question 2

What are the acronyms for PHACE & LUMBAR?

Answer 2

• PHACE syndrome
  
  • Posterior fossa anomalies
  • Hemangioma
  • Arterial lesions
  • Cardiac abnormalities/aortic coarctation
  • Eye abnormalities
• LUMBAR syndrome
  
  • Lower body infantile hemangioma
  • Urogenital anomalies/ulceration
  • Myelopathy
  • Bony deformities
  • Anorectal malformations/arterial anomalies
  • Renal anomalies

Question 3

What is the work-up for PHACE?

Answer 3

• Dermatology referral
• MRI/MRA head & neck
• Echo
• ECG
• Ophthalmology

Question 4

Answer 4

Eczema herpeticum