Multifocal infantile hemangioma of the eyelid causing amblyopia requiring surgical resection

Abstract

Cutaneous vascular lesions in the pediatric population are rare and may represent a variety of localized and systemic diagnoses with diverse treatment protocols. We present a unique case of an infant with multiple cutaneous vascular lesions, initially diagnosed as congenital disseminated pyogenic granuloma based on histopathologic findings and later diagnosed as multifocal infantile hemangioma with extracutaneous hepatic involvement. The largest vascular lesion in our patient was on the left upper eyelid, which failed medical treatment and ultimately required surgical excision to prevent amblyopia progression.

Keywords:

• Amblyopia
• infantile hemangioma
• pyogenic granuloma
• vascular

Disclosure statement/Funding

The authors report no funding or conflicts of interest. Written informed consent for publication was obtained from the child’s mother.