Facial Hemangiomas May Signal PHACE - Summary - MDSpire

Facial Hemangiomas May Signal PHACE

  • By

  • Andrea Surnit

  • April 14, 2026

  • 3 min

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Objective:

To report a case of PHACE syndrome diagnosed in an infant with large segmental facial hemangiomas and associated congenital anomalies.

Key Findings:
  • The infant presented with large facial hemangiomas and multiple congenital anomalies including brain malformations and cardiac defects.
  • Imaging revealed a Dandy-Walker malformation and significant vascular abnormalities, increasing stroke risk.
  • Treatment included aspirin, propranolol, prednisolone, and topical timolol, resulting in clinical improvement.
Interpretation:

The case underscores the importance of recognizing large facial hemangiomas as potential indicators of PHACE syndrome, necessitating multidisciplinary evaluation and intervention.

Limitations:
  • The findings are based on a single patient, limiting generalizability.
  • Long-term outcomes and optimal imaging frequency for PHACE syndrome remain unclear.
Conclusion:

Early diagnosis and treatment of PHACE syndrome can lead to improved clinical outcomes and reduced risk of complications.

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