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Case Report
Faced with PHACES: A photo series of its progression and overview of clinical management
1 Medical Student, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
2 Resident Physician, Department of Dermatology, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
3 Associate Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
Address correspondence to:
Kiana Banafshay
3601 4th Street, Stop 9400, Lubbock, Texas,
USA
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Article ID: 100023Z19KB2024
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Banafshay K, Walterscheid B, Tarbox M. Faced with PHACES: A photo series of its progression and overview of clinical management. J Case Rep Images Pediatr 2024;6(1):1–4.ABSTRACT
Introduction: Posterior fossa anomalies, hemangioma, arterial anomalies, cardiac anomalies, eye anomalies, and sternal anomalies (PHACES) syndrome is a rare, multi-system disorder.
Case Report: We illustrate a case of a 1-month-old female who presented emergently with an enlarging, large, left-sided hemangioma segmentally distributed over the ophthalmic branch of the trigeminal nerve (V1) region prompting clinical concern for PHACES syndrome. Further workup was recommended to evaluate for extracutaneous involvement, which subsequently revealed coarctation of the aorta and multiple arterial abnormalities.
Conclusion: The vast array of potential, devastating complications linked to PHACES syndrome highlights the importance of prompt identification when confronted with hemangiomas, especially in the pediatric population. We further present a photo series demonstrating the evolution of our patient’s infantile hemangioma from its subtle initial stages through its rapid evolution leading to her emergent presentation, emphasizing the importance of early clinical suspicion and intervention.
Keywords: Infantile hemangioma, PHACE, PHACES, Propranolol, Segmental hemangioma
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Author Contributions
Kiana Banafshay - Conception of the work, Design of the work, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Brooke Walterscheid - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Michelle Tarbox - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Kiana Banafshay et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
