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Skin Hemangiomas with Limb Hypertrophy

Question:
Rajani H S, Narayanappa D
Department of Pediatrics, JSS Medical College, JSS Academy of Higher Education and Research, Mysore, India

Address for Correspondence: Dr.Rajani H S, Assistant Professor, Department of Pediatrics, JSS Medical College, JSS Academy of Higher Education and Research, Mysore 570004, India. Email: drrajanihs@jssuni.edu.in

A 9-month-old male child had large irregular compressible bluish purple hemangiomas and port vein stains in the right gluteal region and right lower limb laterally with asymmetric hypertrophy of right lower limb (Figure 1). Blood investigations were normal. Viscera, bones, spinal canal, gastrointestinal and genitourinary tracts were not involved. Ultrasound showed numerous subcutaneous cystic lesions.

Figure 1: Bluish purple hemangiomas and port vein stains in the right gluteal region and right lower limb laterally with asymmetric hypertrophy of right lower limb
What is the diagnosis?