Abass et al. (2008) reported the case of a 5-month-old boy who was admitted for the management of an abdominal wall mass.  He was the first child of consanguineous parents following uncomplicated pregnancy and delivery.  At birth a bluish birth mark 5 cm x 5 cm was noted below the umbilicus. Over the next five months, this birth mark increased in size and evolved into a swelling.  The clinical findings and imagining studies followed by laboratory investigations strongly suggested the diagnosis of Kasabach-Merritt syndrome.  Vincristine was initiated after a trial of corticosteroids when the platelet count was 6000/cmm.  One week after the start of vincristine the size of the lesion started to decrease.  At the end of sixth week, the lesion size decreased to half and the platelet count increased to 49,000/cmm.  Vincristine was continued for another two weeks, no further improvement in lesion size or platelet count was observed.  The hemangioma was surgically excised completely.  The histopathological examination of the excised mass revealed a caverno-capillary hemangioma with infiltration into skeletal muscles.

Al-Mazrou and Richardson (2005) reported a 4-month-old female infant with Hemangioma thrombocytopenia syndrome.  She presented with an extensive vascular lesion involving the left parotid, submandibular, and parapharyngeal regions.  She had feeding difficulty, bruising, and petechiae.  She was treated with corticosteroids, within two months her platelet count was normal.