Korean J Dermatol.  2019 May;57(4):197-200.

A Case of Lumbar Infantile Hemangioma (SACRAL Syndrome) Accompanied by Spinal Anomaly and Dermal Sinus

• Sohng C
• Kim JY
• Lee SJ

Abstract

Infantile hemangioma (IH) usually presents solely as a cutaneous manifestation, and rarely accompanies diverse anomalies such as spinal dysraphism. A 2-month-old girl presented with IH on her lumbar skin as a coin-sized red plaque with adjacent depressed skin and a child-palm-sized red plaque on her left ankle since birth. Considering the coexistence of IH and depressed skin on the midline in her lumbosacral area, magnetic resonance imaging of her spine was performed, which showed intraspinal/dermal vascular tumors with spina bifida occulta at the 12th thoracic vertebrae level. Furthermore, no neurologic deficits were observed. She has been taking oral propranolol with topical timolol to prevent neural complications and the lesions clinically improved. However, additional surgery for the intraspinal lesions was considered due to urination/defecation abnormalities since she was 13 months of age. In cases of midline IH, particularly with additional skin lesions, appropriate imaging studies to identify accompanying anomalies should be performed, and referrals to neurosurgical specialists should be considered.

Keyword

Infantile hemangioma; Dermal sinus; Spina bifida occulta; Spinal dysraphism; SACRAL syndrome

MeSH Terms

Ankle
Female
Hemangioma*
Humans
Infant
Magnetic Resonance Imaging
Neurologic Manifestations
Parturition
Propranolol
Referral and Consultation
Skin
Specialization
Spina Bifida Occulta*
Spinal Dysraphism
Spine
Thoracic Vertebrae
Timolol
Propranolol
Timolol