Venous malformation
QUESTION 23
A 14-month-old boy presents to the pediatric dermatology clinic as a referral from his pediatrician for the development of multiple painful blue lesions on the leg. The lesions were not present at birth, have become larger over the past several months and seem to cause the child pain. On examination, there are multiple blue-purple subcutaneous nodules that are soft and compressible (23), located on the right thigh and right lower leg.
i. What is the most accurate diagnosis?
ii. What type(s) of imaging studies could be performed to confirm the diagnosis?
iii. What syndromes are associated with this finding?
iv. Based on the lesion location, what further assessments and/or considerations should be made?