Infantile Haemangioma with Neonatal Systemic Lupus Erythematosus, Rare Combination, Case Report and Review of Literature. Experience from king Abdulaziz Medical City, Riyadh Saudi Arabia

Abstract

Combination of Infantile haemangioma, multiple cardiac anomalies, congenital heart block secondary to maternal systemic lupus erythematosus is a rare event. Herewith, we present 30 weeks neonate women known case of systemic lupus erythematosus for five years. He delivered by emergency cesarean section when he developed severe bradycardia due to heart block diagnosed intrauterine as complication of long term use of dexamethasone and developed infantile haemangioma. Multidisplinary team was formed for the management of the cases, including cardiologist, dermatologist and neonatologist. From the cardiac side propranolol contraindicated in presence of complete heart block so the plan to wait for pacemaker insertion then to start medication. Once pacemaker inserted the propranolol was started and the lesion was started to decrease inside with no ulceration.