MULTIMODAL MANAGEMENT OF DIFFUSE NEONATAL HEMANGIOMATOSIS

Diffuse neonatal hemangiomatosis is a rare, frequently fatal disorder. We describe the case of a neonate with numerous cutaneous and ocular hemangiomas. Hepatic hemangiomas were noted at 4 weeks of age, associa ted with congestive heart failure resulting from hepatic arteriovenous shunting. This condition was controlled by treatment with prednisone, interferon alfa-2b and hepatic embolization. Treatment of cutaneus he mangiomas wit)h the tunable dye laser prevented hemorrhage, facilitate d routine skin care, and allowed uninhibited intravenous access during hospitalization.