HY USMLE Q #1619 – Peds / Derm

An 8-month-old boy is evaluated in hospital for a violaceous region that appears to be growing on the trunk. It was present as a faint mark since birth, but appears to have rapidly grown over the past month. Physical examination shows a 10×14-cm violaceous region on the trunk. Laboratory studies show:

Hemoglobin                                                    15 g/dL
Leukocytes                                                       8,000/μL
Platelets                                                            90,000/μL
Prothrombin time                                       13 seconds
Partial thromboplastin time                 30 seconds
Bleeding time                                                 9 minutes

Which of the following is the most likely explanation for this patient’s findings?

A) Cherry hemangioma
B) Kasabach-Merritt syndrome
C) Pyogenic granuloma
D) Stewart-Treves syndrome
E) Strawberry hemangioma

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