RT Book, Section
A1 Usatine, Richard P.
A1 Hitzeman, Nathan
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114878027
T1 Vascular and Lymphatic Malformations
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114878027
RD 2024/04/24
AB A  6-month-old  African  American  boy  is  brought  to  his  pediatrician  for  his  six-month  well-baby  exam  and  immunizations.  The  mother  asks  whether  the  red  mark  on  the  forehead  and  right  eyebrow  from  birth  will  ever  go  away  (Figure  170-1).  The  pediatrician  refers  the  child  to  a  dermatologist  that  explains  that  this  is  a  capillary  malformation  called  a  port-wine  stain  and  that  it  will  remain  there  for  the  rest  of  the  child’s  life.  He  also  notes  that  it  is  less  likely  but  still  possible  for  this  to  be  a  salmon  patch  that  could  resolve  spontaneously  (although  most  salmon  patches  are  lighter  and  midline).  He  states  that  it  is  not  necessary  to  perform  a  biopsy  because  either  way  it  is  a  capillary  malformation  that  will  not  cause  the  child  any  physical  harm.  As  it  only  involves  part  of  V1  and  none  of  V2,  it  is  extremely  unlikely  to  be  part  of  the  neurocutaneous  syndrome  known  as  Sturge-Weber  syndrome.  The  pediatrician  decides  to  not  even  bring  up  Sturge-Weber  to  avoid  making  the  mother  anxious  but  will  continue  to  follow  the  child’s  development  over  time.  The  dermatologist  also  explained  that  the  child  may  choose  to  have  laser  treatment  in  the  future  if  the  capillary  malformation  is  causing  psychological  distress.