J Pediatr Genet 2020; 09(01): 027-031
DOI: 10.1055/s-0039-1694705
Case Report
Georg Thieme Verlag KG Stuttgart · New York

PHACE Syndrome: A Rare Case

Ceylan Altintas Taslicay
1   Department of Radiology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey
,
Elmire Dervisoglu
1   Department of Radiology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey
,
Ercument Ciftci
1   Department of Radiology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey
,
Funda Corapcioglu
2   Department of Pediatric Oncology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey
,
Yonca Anik
1   Department of Radiology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey
› Author Affiliations
Further Information

Publication History

05 April 2019

27 June 2019

Publication Date:
12 August 2019 (online)

Abstract

PHACE syndrome (OMIM 606519) is a rare neurocutaneous vascular disorder, characterized by posterior fossa malformations, large cervicofacial infantile hemangiomas, arterial anomalies, aortic coarctation, cardiac abnormalities, and eye abnormalities. The long-term outcome of PHACE syndrome patients is unclear; however, it seems that they are at risk for childhood stroke. The radiologist has an important role on diagnosis of PHACE syndrome and in the assessment of potential complications. Investigation of infants with segmental craniofacial hemangiomas should include cranial magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) of the cerebral and cervical arteries. Brain MRI and MRA findings of a 5-year-old female patient with PHACE syndrome are presented.

 
  • References

  • 1 Bracken J, Robinson I, Snow A. , et al. PHACE syndrome: MRI of intracerebral vascular anomalies and clinical findings in a series of 12 patients. Pediatr Radiol 2011; 41 (09) 1129-1138
  • 2 Bellaud G, Puzenat E, Billon-Grand NC, Humbert P, Aubin F. PHACE syndrome, a series of six patients: clinical and morphological manifestations, propranolol efficacy, and safety. Int J Dermatol 2015; 54 (01) 102-107
  • 3 Metry DW, Dowd CF, Barkovich AJ, Frieden IJ. The many faces of PHACE syndrome. J Pediatr 2001; 139 (01) 117-123
  • 4 Haggstrom AN, Garzon MC, Baselga E. , et al. Risk for PHACE syndrome in infants with large facial hemangiomas. Pediatrics 2010; 126 (02) e418-e426
  • 5 Kim HJ, Colombo M, Frieden IJ. Ulcerated hemangiomas: clinical characteristics and response to therapy. J Am Acad Dermatol 2001; 44 (06) 962-972
  • 6 Rotter A, Samorano LP, Rivitti-Machado MC, Oliveira ZNP, Gontijo B. PHACE syndrome: clinical manifestations, diagnostic criteria, and management. An Bras Dermatol 2018; 93 (03) 405-411
  • 7 Metry D, Heyer G, Hess C. , et al; PHACE Syndrome Research Conference. Consensus statement on diagnostic criteria for PHACE Syndrome. Pediatrics 2009; 124 (05) 1447-1456
  • 8 Garzon MC, Epstein LG, Heyer GL. , et al. PHACE syndrome:consensus-derived diagnosis and care recommendations. J Pediatr 2016; 178: 24-33.e2