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Birth Mark

This is a 6 yr old girl who came to me for fever and cough. Incidentally I found this lesion. It is present since birth. It has increased from about 1cm now to about 4 cm . No itching. What is your diagnosis?

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Permalink Reply by Tiffany Shepard on December 3, 2014 at 8:05pm

It looks like a very bad burn mark but quite recent one. Not to sound offensive - really! - but are you sure it's been there since birth?

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Permalink Reply by Dindukurthi Sudhakar on December 3, 2014 at 8:21pm

I am quite sure, about the chronic nature. There were no signs of acute inflammation. But Dr Tiffany, surely doesn't look like a burn.

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Permalink Reply by Toni Rose on December 4, 2014 at 2:53pm

Could this be dysplastic nevus?

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Permalink Reply by afeef sofean on December 9, 2014 at 12:19am

haemangioma but involute over time

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Permalink Reply by Laura K. on April 4, 2015 at 10:45pm

my guess is they the vein was not as prominent before. I second afeef in thinking it is an involute haemangioma that has turned involute and is obstructive. Has she had had Propanolol yet? If yes has that vein been canueled when she was newborn?

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Permalink Reply by summaiya javed on April 5, 2015 at 10:30am

is this a congenitally related?

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Permalink Reply by Habsons Jobsup Ltd. on April 15, 2015 at 10:40am

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Permalink Reply by Shatha Ababneh on April 15, 2015 at 2:48pm

Let's analyse this case .. the red colour is blood and this means an aincrement in blood perfustion to this area --->it's eather a very thin skin or upnormal vessels (vascular malformation) .... the whitish plaque is a keratosis just like sposiasis plaques ---> here im still wondering what could make such a lesion ?