Images in clinical medicine | Volume 38, Article 171, 16 Feb 2021 | 10.11604/pamj.2021.38.171.27066

Miliary red papules in a newborn: a rare neonatal hemangiomatosis

Nour Mekaoui, Lamya Karboubi

Corresponding author: Nour Mekaoui, Pediatric Medical Emergencies Department, Rabat Children´s Hospital, Mohammed V University Rabat, Rabat, Morocco

Received: 20 Nov 2020 - Accepted: 05 Feb 2021 - Published: 16 Feb 2021

Domain: Pediatrics (general)

Keywords: Newborn, heamangiomatosis, red papules

©Nour Mekaoui et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Nour Mekaoui et al. Miliary red papules in a newborn: a rare neonatal hemangiomatosis. Pan African Medical Journal. 2021;38:171. [doi: 10.11604/pamj.2021.38.171.27066]

Available online at: https://www.panafrican-med-journal.com/content/article/38/171/full

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Images in clinical medicine

Miliary red papules in a newborn: a rare neonatal hemangiomatosis

Miliary red papules in a newborn: a rare neonatal hemangiomatosis

Nour Mekaoui1,&, Lamya Karboubi1

 

1Pediatric Medical Emergencies Department, Rabat Children's Hospital, Mohammed V University Rabat, Rabat, Morocco

 

 

&Corresponding author
Nour Mekaoui, Pediatric Medical Emergencies Department, Rabat Children's Hospital, Mohammed V University Rabat, Rabat, Morocco

 

 

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Hemangiomatosis is the efflorescence of 5 or 6, and up to several hundred, infantile hemangiomas.Several predisposing factors have been isolated: female gender, Caucasian origin, low birth weight and prematurity (these two factors are closely linked and it is above all the birth weight which seems to be the most significant factor). We describe the case of a 15 days old newborn, from a followed up full term pregnancy with a low birth weight at 2200g; admitted for respiratory distress. The examination found more than a hundred angiomas scattered all over the body (A), the head and the mucous membranes (B) whose diameter was less than one centimeter. The examination also showed respiratory distress without hepatomegaly or heart murmur. These cutaneous hemangiomas are often associated with visceral hemangiomas, the most frequent localization of which is the liver. The natural course of these hepatic hemangiomas is parallel to that of skin hemangiomas. They will evolve, like skin forms, towards spontaneous regression, without any treatment. However, they can also; because of intense vascularity, lead to heart failure due to high flow, sometimes severe. A complete clinical examination of the child for signs of heart failure, hepatomegaly, hepatic murmur and the practice of an abdominal ultrasound and doppler. There is no consensus on the number of lesions required to speak of multiple hemangiomas, as well as to provide the indication for a liver ultrasound. Regular monitoring every 2-3 weeks is necessary.

Figure 1: A) miliary angiomas at the body; B) head and mucous membranes

 

 

 

 

Images in clinical medicine

Miliary red papules in a newborn: a rare neonatal hemangiomatosis

Images in clinical medicine

Miliary red papules in a newborn: a rare neonatal hemangiomatosis

Images in clinical medicine

Miliary red papules in a newborn: a rare neonatal hemangiomatosis

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Key words

Newborn

Heamangiomatosis

Red papules

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