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PUZZLER
Infant with facial lesions and respiratory distress


Alison Mathew, MD
Ngozi Eboh, MD, FAAP
Gregory L Brower, DVM, PhD

THE CASE

Credit: AUTHOR SUPPLIED

A 2-month-old Hispanic girl is transferred by her pediatrician to the emergency department for evaluation of decreased oral intake, failure to thrive, and large bleeding facial hemangiomas.

WHAT’S THE DIAGNOSIS?

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