Abstract • The association of hemangioma and thrombocytopenia has been recognized since 1940. We cared for a newborn boy whose hemangioma resembled an occipital encephalocele. The true diagnosis was suspected only when his platelet count dropped to 3,000/cu mm with severe intestinal hemorrhage on the third day of life. The diagnosis was confirmed by arteriography. The hemangioma was excised surgically, and the platelet count returned quickly to normal. The baby has done well subsequently. When feasible, surgical excision of the platelet-trapping hemangioma is the treatment of choice in the hemangioma thrombocytopenia syndrome. (Am J Dis Child 131:680-681, 1977) References 1. Kasabach HA, Merritt KK: Capillary hemangioma with extensive purpura: Report of a case . Am J Dis Child 59:1063-1070, 1940. 2. Nagashima C, Takahama M, Nakayama Y: Giant occipital hemangioendothelioma with thrombocytopenia, anemia, and hypofibrinoginemia . J Neurosurg 43:74-79, 1975.Crossref 3. Kontras SB, Green OC, King L, et al: Giant hemangioma with thrombocytopenia . Am J Dis Child 105:188-195, 1963. 4. Thompson LR, Unlauf HJ Jr: Hemangioma associated with thrombocytopenia: Two cases and review of literature . Milit Med 129:652, 1964.
American Journal of Diseases of Children – American Medical Association
Published: Jun 1, 1977