Diffuse neonatal hemangiomatosis presenting as congestive heart failure

Diffuse neonatal hemangiomatosis is a rare condition with a very high mortality rate if left untreated. We report a neonate having around 490 cutaneous and multiple diffuse liver hemangiomas presenting as congestive heart failure. Prompt treatment was instituted with decongestive drugs and predniso...

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Autores principales: Sheetal Agarwal, Anu Sharma, Arti Maria
Formato: article
Lenguaje:EN
Publicado: Mattioli1885 2017
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Acceso en línea:https://doaj.org/article/e44333d300084e76a95f0061644a9f40
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spelling oai:doaj.org-article:e44333d300084e76a95f0061644a9f402021-11-17T08:30:39ZDiffuse neonatal hemangiomatosis presenting as congestive heart failure10.5826/dpc.0703a152160-9381https://doaj.org/article/e44333d300084e76a95f0061644a9f402017-08-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/278https://doaj.org/toc/2160-9381 Diffuse neonatal hemangiomatosis is a rare condition with a very high mortality rate if left untreated. We report a neonate having around 490 cutaneous and multiple diffuse liver hemangiomas presenting as congestive heart failure. Prompt treatment was instituted with decongestive drugs and prednisolone for anticipated life threatening complications due to hepatic hemangiomas. Propranolol was added later as it is known to precipitate congestive failure and also to avoid long-term complications of steroids. The child responded well. However, there is no consensus regarding the initial line of management, which needs to be individualized keeping in mind the efficacy, long-term side effects of the drug and the clinical presentation. Sheetal AgarwalAnu SharmaArti MariaMattioli1885articlehemangiomavascular tumorsneonatalcongestive heart failureDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 7, Iss 3 (2017)
institution DOAJ
collection DOAJ
language EN
topic hemangioma
vascular tumors
neonatal
congestive heart failure
Dermatology
RL1-803
spellingShingle hemangioma
vascular tumors
neonatal
congestive heart failure
Dermatology
RL1-803
Sheetal Agarwal
Anu Sharma
Arti Maria
Diffuse neonatal hemangiomatosis presenting as congestive heart failure
description Diffuse neonatal hemangiomatosis is a rare condition with a very high mortality rate if left untreated. We report a neonate having around 490 cutaneous and multiple diffuse liver hemangiomas presenting as congestive heart failure. Prompt treatment was instituted with decongestive drugs and prednisolone for anticipated life threatening complications due to hepatic hemangiomas. Propranolol was added later as it is known to precipitate congestive failure and also to avoid long-term complications of steroids. The child responded well. However, there is no consensus regarding the initial line of management, which needs to be individualized keeping in mind the efficacy, long-term side effects of the drug and the clinical presentation.
format article
author Sheetal Agarwal
Anu Sharma
Arti Maria
author_facet Sheetal Agarwal
Anu Sharma
Arti Maria
author_sort Sheetal Agarwal
title Diffuse neonatal hemangiomatosis presenting as congestive heart failure
title_short Diffuse neonatal hemangiomatosis presenting as congestive heart failure
title_full Diffuse neonatal hemangiomatosis presenting as congestive heart failure
title_fullStr Diffuse neonatal hemangiomatosis presenting as congestive heart failure
title_full_unstemmed Diffuse neonatal hemangiomatosis presenting as congestive heart failure
title_sort diffuse neonatal hemangiomatosis presenting as congestive heart failure
publisher Mattioli1885
publishDate 2017
url https://doaj.org/article/e44333d300084e76a95f0061644a9f40
work_keys_str_mv AT sheetalagarwal diffuseneonatalhemangiomatosispresentingascongestiveheartfailure
AT anusharma diffuseneonatalhemangiomatosispresentingascongestiveheartfailure
AT artimaria diffuseneonatalhemangiomatosispresentingascongestiveheartfailure
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