Infant With Multiple Birthmarks and Hypertrophic Left Arm

By JAMES S. LEUNG, MD and ALEXANDER K. C. LEUNG, MD—Series Editor | September 13, 2010

Dr James Leung is a resident physician at the University of Toronto and Hospital for Sick Children.
Dr Alexander K. C. Leung is clinical professor of pediatrics at the University of Calgary and pediatric consultant at the Alberta Children’s Hospital.

HISTORY

Three-month-old boy with multiple birthmarks and hypertrophic left arm.

Infant was born at 38 weeks' gestation to a 33-year-old gravida 2, para 1 after an uncomplicated pregnancy and normal spontaneous vaginal delivery. Birth weight, 3.45 kg; length, 53 cm. Both parents healthy, nonconsanguineous. No family history of growth abnormalities. Father had port-wine stains on nape and chest.

PHYSICAL EXAMINATION

Weight, 6.93 kg; length, 63 cm; head circumference, 39.5 cm. Length of left shoulder to left wrist was 21 cm, whereas that from right shoulder to right wrist was 19.75 cm. Left mid-arm circumference and midforearm circumference, 17.5 cm and 17 cm, respectively. Right mid-arm circumference and mid-forearm circumference, 16 cm and 14.5 cm, respectively. Multiple red birthmarks, especially on the chest, abdomen, left arm, left forearm, and left hand. Remaining examination findings normal.

"WHAT'S YOUR DIAGNOSIS?"

Answer on Next Page

Pages: 1 2 3

by robert caudill | September 22, 2010 5:43 AM EDT

Undeserved Suffering for both infant and family. Hard to reconcile. rgc

TOPIC INDEX

• ADHD
• Allergy
• Asthma
• Atopic Dermatitis
• Autism
• Bacterial Conjunctivitis
• Developmental/Genetic Disorders
• Epilepsy
• Failure to Thrive
• Food Allergies
• GI Disorders
• Lice Treatments
• Obesity
• Respiratory Tract Diseases
• Sexually Transmitted Infections
• Skin Diseases
• Vaccines
• Vitamin D Insufficiency

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Infant With Multiple Birthmarks and Hypertrophic Left Arm

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