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Case Reports
November 1948

HEMANGIOMA (CAPILLARY AND CAVERNOUS) WITH THROMBOPENIC PURPURA: Report of a Case with Observations at Autopsy

Author Affiliations

SAN FRANCISCO
From the Departments of Pediatrics, Medicine and Pathology of the University of California Medical School.

Am J Dis Child. 1948;76(5):513-520. doi:10.1001/archpedi.1948.02030030526004
Abstract

THROMBOPENIC purpura is an unusual complication of extensive hemangioma of the skin. Only 2 cases have been reported, 1 by Kasabach and Merritt,1 which occurred in a 2 month old infant, and 1 by Rhodes and Borrelli,2 which was first observed in an infant at the age of 3½ months.

The present report concerns a case of cavernous and capillary hemangioma in which thrombopenia was first noted at the age of 20 months. The condition was rapidly progressive and terminated fatally.

REPORT OF CASE  First Hospital Entry, Sept. 7, 1945.—S. R., a 14½ month old girl, was first seen at the University of California Hospital with a complaint of "vascular tumors."At birth, a small, elevated, vascular area had been noted behind the right ear, and by the age of 3½ months this lesion had doubled in size. It was treated with applications of solid carbon dioxide

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