Completely ulcerated infantile hemangioma: a diagnostic challenge.

IF 1.9 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Wiener Klinische Wochenschrift Pub Date : 2025-05-22 DOI:10.1007/s00508-025-02543-5

Elias Marquart, Doris Weiss, Klaudija Batinic, Thomas Wiesner, Johannes Rohrbeck, Tamara Arnoldner, Wolfgang Weninger, Tamar Kinaciyan

引用次数: 0

Abstract

The present case report describes a completely ulcerated infantile hemangioma (UIH) in a 5-month-old infant on the left proximolateral thigh initially misdiagnosed as pyoderma gangrenosum, sporotrichosis or atypical mycobacterial infection. Clinical assessment, histological findings, and GLUT‑1 immunohistochemistry confirmed the diagnosis of UIH. Systemic propranolol treatment led to rapid ulcer healing within 3 weeks and complete recovery without relapse after 18 months of treatment. The report emphasizes the diagnostic challenges, effective propranolol treatment and the importance of considering UIH in the differential diagnoses of solitary pediatric ulcers.

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完全溃烂的婴儿血管瘤：一个诊断挑战。

本病例报告描述了一个完全溃疡的婴儿血管瘤（UIH）在5个月大的婴儿左大腿近外侧最初误诊为坏疽性脓皮病，孢子毛病或非典型分枝杆菌感染。临床评估、组织学检查和GLUT‑1免疫组织化学证实了UIH的诊断。全身心得安治疗3周内溃疡迅速愈合，治疗18个月后完全恢复无复发。该报告强调了诊断的挑战、有效的心得安治疗以及在儿童孤立性溃疡鉴别诊断中考虑uh的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wiener Klinische Wochenschrift 医学-医学：内科

CiteScore

4.70

自引率

3.80%

发文量

110

审稿时长

4-8 weeks

期刊介绍： The Wiener klinische Wochenschrift - The Central European Journal of Medicine - is an international scientific medical journal covering the entire spectrum of clinical medicine and related areas such as ethics in medicine, public health and the history of medicine. In addition to original articles, the Journal features editorials and leading articles on newly emerging topics, review articles, case reports and a broad range of special articles. Experimental material will be considered for publication if it is directly relevant to clinical medicine. The number of international contributions has been steadily increasing. Consequently, the international reputation of the journal has grown in the past several years. Founded in 1888, the Wiener klinische Wochenschrift - The Central European Journal of Medicine - is certainly one of the most prestigious medical journals in the world and takes pride in having been the first publisher of landmarks in medicine.