Archives of Disease in Childhood - Fetal and Neonatal Edition Images in neonatal medicine http://fn.bmj.com Archives of Disease in Childhood - Fetal and Neonatal Edition RSS feed -- recent Images in neonatal medicine articles 1468-2052 Archives of Disease in Childhood - Fetal and Neonatal Edition 1359-2998 Archives of Disease in Childhood - Fetal and Neonatal Edition http://hwmaint.fn.bmj.com/misc/home/ADC_95x60.gif http://fn.bmj.com <![CDATA[PHACES syndrome]]> http://fn.bmj.com/cgi/content/short/97/3/F209?rss=1 An infant of 31 weeks' gestation was noted at birth to have a scar-like lesion extending from the umbilicus to the xiphisternum (figure 1).

An infantile haemangioma became apparent over her left face, extending into the mandibular area and lip, which gradually enlarged over the subsequent months (figure 2). At 3 years of age, the facial haemangioma has partially involuted.

She developed respiratory distress and stridor at 3 weeks of age. Microlaryngo-bronchoscopy showed a subglottic haemangioma extending down the trachea circumferentially towards the carina requiring tracheostomy formation (figure 3). She was successfully decannulated at 3 years of age after involution of the haemangioma.

Echocardiography and subsequent cardiac catheter study identified an aortic aneurysm (figure 4) requiring resection at 4 months of age.

PHACES syndrome is an uncommon neurocutaneous syndrome that manifests with multisystem involvement. It refers to the association of posterior...]]> 2012-04-17T05:21:32-07:00 info:doi/10.1136/archdischild-2011-300557 hwp:master-id:fetalneonatal;archdischild-2011-300557 BMJ Publishing Group 2012-05-01 Images in neonatal medicine 97 3 F209 F210