文献简介

出版社:JAMA Dermatology

作  者:Matthew Vasievich, MD, PhD; Mahwish Irfan; Allison Vidimos, MD, RPh

编  号:

关键字:Umbilical mucosal polyp

年  份:2016   点击量:36

文献摘要 全文翻译

An 8-month-old white male was seen for evaluation of a red, bleeding umbilical mass. The lesion had been present since loss of the umbilical stump at 1 week of life. It bled easily with Valsalva maneuver or trauma. The lesion was treated as an infantile hemangioma with timolol by an outside dermatologist and as an umbilical pyogenic granuloma with silver nitrate by the patient’s pediatrician, with minimal improvement. The patient was born at 38½ weeks by normal spontaneous vaginal delivery. His medical history was notable for tongue tie from birth. On examination, he was an alert and healthy-appearing child. The umbilicus demonstrated a bright red, friable, 5mm papule (Figure, A). A shave biopsy specimen was obtained for histologic examination (Figure, B and C).

8个月大白人男婴,因脐部红色出血肿块就诊。皮损自出生一周脐带脱落后出现。且Valsalva动作或创伤时更易出血。皮损被皮肤科医生当做婴儿血管瘤采用噻吗洛尔治疗,且被儿科医生当做脐部化脓性肉芽肿采用硝酸银治疗。该患儿在孕38½周经阴道自然分娩出生,且自出生开始有显著舌系带过短病史。检查发现,该患儿机敏而健康。脐部出现一鲜红色、5mm脆性丘疹(图A)。取刮取活检标本用于组织学检查(图B 和 C)。