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Disclaimer: The contents of this blog are for informational purposes only and should not be construed as medical advice or substitute for professional care.
Friday, March 4, 2011
Saturday, December 13, 2008
Sunday, November 9, 2008
although seen occasionally in newborns, its a matter of concern when some of them ulcerate, bleed or grow in size, sometimes called as malformations.. when grow in size they are better called as tumors that may need excision on priority.
scalp is an uncommon siet for hemangiomas. strawberry hemangiomas like this are usually at multiple sites. canvernous hemangiomas usally have colour matching with surrounding tissue, but swelling and spongy feeling is obvious.
strawberry hemangiomas http://www.thebeautytips.com/beauty/skin-disorders/strawberry-hemangioma.htm
Giant cavernous hemangioma of the scalp http://www.ncbi.nlm.nih.gov/pubmed/10194850
Cherry hemangioma in the scalp http://www.anaisdedermatologia.org.br/artigo_en.php?artigo_id=108
Huge, alarming congenital hemangioma of the scalp presenting as heart failure and Kasabach-Merritt syndrome: a case report. Eur J Pediatr. 2007 Jun;166(6):619-20. Epub 2006 Aug 26
PHACE syndrome (Posterior fossa malformations, Hemangiomas, Arterial anomalies, Coarctation of the aorta and other cardiac defects, and Eye abnormalities)
Sturger Weber syndrome and facial hemangioma
one may read more at http://www.craniofacialcenter.com/book/hemifacial/hemifacial3.htm
Patterns of Infantile Hemangiomas: New Clues to Hemangioma Pathogenesis and Embryonic Facial Development
Anita N. Haggstrom, MDa, Edward J. Lammer, MDb, Richard A. Schneider, PhDc, Ralph Marcucio, PhDd and Ilona J. Frieden, MDhttp://pediatrics.aappublications.org/cgi/content/full/117/3/698
Sunday, June 17, 2007
In FM, the subcutaneous tissues and underlying muscles are diminished and the skin of arms, legs, elbows, knees and interscapular regions is very loose. In severe FM, the neonate may look “emaciated” or “marasmic” as the skin appears “several sizes” too large for the baby.2
such horizontal peeling skin lines are very often seen in IUGR babies and that reflects the growth failure especially in the third trimester.
Tuesday, June 12, 2007
rheumatic nodules: one of the rare manifestations of rheumatic fever a major sign of acute rheumatic fever. the swelling on forearm and back are easy to make out. this was a 10 yr old boy with mitral regurgitation with acute rheumatic fever. for our surprise this child also had chorea , carditis joint pains and rheumatic nodules. may be we were not that expert to pick up the transient erythema marginatum.
rheumatic nodules can come in crops, various sizes rounded subcutaneus bulges on extensor aspects of body. This patient had them even on scalp and forehead. Although they range from sizes 1 cm to 10 cm in diameter; even they may be just solitary, however this patient had more than 50 nodules.
These theumatic nodules disappeared in 10-15 days after treatment along with settling of clinical features.
when a doctor completes his training without the real hands on experience, its mistaken by many that what you are taught in medical school is totally in contrast with what you see clinically in patients. This blog aims at making medical students and docs understand how every case is exactly the same as in books. The work done by senior docs over the years is really rewarding. Infact when one finds a contrast in what is taught, he should go to books and you will find the exact descriptions verbatim, or the images as they are explained in medical books.