被误诊为血管异常的贾达松皮样痣:一例儿科病例报告

IF 0.4 4区 医学 Q4 SURGERY Indian Journal of Surgery Pub Date : 2024-04-06 DOI:10.1007/s12262-024-04063-4
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引用次数: 0

摘要

摘要 贾达松皮脂腺痣(NSJ)是一种不常见的先天性表皮皮肤病变,通常出现在头皮和面部。NSJ 的生长可能与性激素有关,因此应在青春期前切除。一名没有产前病史的女性新生儿在出生时头皮顶区出现了一个约 1 × 1 厘米的排泄性病变。她还患有颈部毛细血管畸形和一个小的腰部先天性血管瘤(CH)。该病变经临床和超声诊断为先天性血管瘤,需要进行进化监测。3 岁时,病变仍保持一定比例的大小,外观呈脑状且无血管。手术进行了完全切除。组织病理学确诊为 NSJ。如果出生时头皮就有病变,则应考虑诊断为 NSJ。超声检查可能会造成诊断上的混淆,因为检查结果可能与 CH 相似。位于头皮上的 NSJ 仅靠检查可能难以诊断。
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Nevus Sebaceous of Jadassohn’s Misdiagnosed as a Vascular Anomaly: a Pediatric Case Report

Abstract

Nevus sebaceous of Jadassohn (NSJ) is an infrequent congenital epidermal cutaneous lesion that usually appears on the scalp and face. NSJ may have sex hormones-related growth, so removal in the prepubertal stage is indicated. A female newborn with no prenatal history presented with an excrescent lesion in the parietal region of the scalp at birth, measuring approximately 1 × 1 cm. She also had a nuchal capillary malformation and a small lumbar congenital hemangioma (CH). The lesion was clinically and ultrasonographically diagnosed as a CH and evolutionary surveillance was indicated. At 3 years of age, the lesion maintained a proportional size with a cerebriform, non-vascular appearance. Complete surgical excision was performed. Histopathology established the diagnosis of NSJ. In the presence of a scalp lesion present from birth, the diagnosis of NSJ should be considered. Ultrasound studies may create diagnostic confusion since the findings may be similar to those of a CH. NSJ located on the scalp may be difficult to diagnose on inspection alone.

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来源期刊
CiteScore
0.60
自引率
25.00%
发文量
412
审稿时长
6-12 weeks
期刊介绍: The Indian Journal of Surgery is the official publication of the Association of Surgeons of India that considers for publication articles in all fields of surgery. Issues are published bimonthly in the months of February, April, June, August, October and December. The journal publishes Original article, Point of technique, Review article, Case report, Letter to editor, Teachers and surgeons from the past - A short (up to 500 words) bio sketch of a revered teacher or surgeon whom you hold in esteem and Images in surgery, surgical pathology, and surgical radiology. A trusted resource for peer-reviewed coverage of all types of surgery Provides a forum for surgeons in India and abroad to exchange ideas and advance the art of surgery The official publication of the Association of Surgeons of India 92% of authors who answered a survey reported that they would definitely publish or probably publish in the journal again The Indian Journal of Surgery offers peer-reviewed coverage of all types of surgery. The Journal publishes Original articles, Points of technique, Review articles, Case reports, Letters, Images and brief biographies of influential teachers and surgeons. The Journal spans General Surgery, Pediatric Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Rural Surgery, Orthopedic Surgery, Urology, Surgical Oncology, Radiology, Anaesthesia, Trauma Services, Minimal Access Surgery, Endocrine Surgery, GI Surgery, ENT, Colorectal Surgery, surgical practice and research. The Journal provides a forum for surgeons from India and abroad to exchange ideas, to propagate the advancement of science and the art of surgery and to promote friendship among surgeons in India and abroad. This has been a trusted platform for surgons in communicating up-to-date scientific informeation to the community.
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