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Images in paediatrics
Multiple congenital vascular lesions in a newborn: a diagnostic challenge
  1. Maria Tejedor1,
  2. Inés Gracia-Darder2,
  3. Pere Ramon Balliu1,
  4. Rafael Félix Ramos Asensio3,
  5. Pilar Jarque1,
  6. Ana Martin-Santiago2
  1. 1 Department of Pediatrics, Division of Neonatology, Hospital Universitari Son Espases, Palma de Mallorca, Spain
  2. 2 Dermatology, Son Espases University Hospital, Palma De Mallorca, Spain
  3. 3 Pathology, Son Espases University Hospital, Palma de Mallorca, Spain
  1. Correspondence to Dr Inés Gracia-Darder, Dermatology, Son Espases University Hospital, Palma De Mallorca, Baleares, Spain; ines.gracia.darder{at}

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We present a newborn, delivered at week 38 of gestation because of pathological cardiotocographic record with an Apgar score of 1 point at 1 and 5 min of birth, requiring resuscitation. Skin examination revealed multiple papules and erythematous–violaceous nodules with a vascular appearance distributed on the trunk and extremities (figure 1A–C). Thrombocytopenia was present (67 200/µL) with normal coagulation. The CT scan (figure 1D,E) revealed a large right thoracic mass with an extensive cerebral bleeding, signs of hypoxaemic encephalopathy, that led to brain death at 5 days of life.

Figure 1

(A,B) Multiple erythematous–violaceous …

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  • MT and IG-D are joint first authors.

  • Contributors MT and IGD share the first authorship since they have contributed equally to this article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.