The Nasal Crease Sign May Herald Destruction of Septum in Segmental Facial Hemangiomas

Complications in hemangiomas of the nasal tip can be difficult to predict and difficult to manage.

Although most infantile hemangiomas require no treatment, some problems, such as visual obstruction or ulceration, do require intervention. Hemangiomas with a segmental morphology have a higher risk for complications than focal hemangiomas and may be associated with PHACES syndrome (see Journal Watch Dermatology Aug 18 2006).

In this report, the authors describe three full-term infant girls who presented in the first 2 to 4 weeks of life with rapidly proliferating segmental facial hemangiomas involving the columella and varying degrees of the philtrum. At least one patient had PHACES syndrome. To prevent visual obstruction, cutaneous ulceration, and deformity of the nose and lip, clinicians initiated systemic corticosteroid therapy (oral pre…

Reviewing Author

Mary Wu Chang, MD

Disclosures

Consultant / Advisory board Pierre Fabre; Valeant

Speaker’s bureauPierre Fabre

Mary Wu Chang, MD

Disclosures

Consultant / Advisory board Pierre Fabre; Valeant

Speaker’s bureauPierre Fabre