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Kaposiform haemangioendothelioma of the spine associated with fixed hyperlordotic deformity and Kasabach–Merritt Syndrome: a case report and literature review

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Abstract

Kaposiform haemangioendothelioma (KHE) is a rare childhood disease classified by the International Society for the Study of Vascular Anomalies (ISSVA) as a locally aggressive vascular tumor. It has been reported to affect any site, with a predilection for the extremities and trunk. Although it typically manifests as an enlarging cutaneous or soft tissue lesion, less than 10% of cases have no skin involvement, with the retroperitoneum being the most frequently involved extracutaneous site. Approximately twenty cases of KHE with bony involvement have been reported in the literature to date, with only five of those cases involving the spine specifically.

We present a, rare case of KHE who presented with progressive fixed hyperlordotic deformity, multiple non-specific spinal lesions, and abnormal blood tests, posing a clinical and radiological diagnostic challenge. Additionally, we conducted a thorough review of the literature to compare and contrast the various multimodality imaging manifestations of KHE involving the spine.

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Acknowledgements

Elaine Y.L. Kan, MBChB, FRCR, FHKCR, FHKAM (Radiology) for supportive insights and comments that greatly improved the manuscript.

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Authors and Affiliations

  1. Department of Radiology, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong, Hong Kong

    Leanne H. Q. Chin

  2. Department of Radiology, Hong Kong Children’s Hospital, Hong Kong, Hong Kong

    Kevin K. F. Fung, Joyce P. K. Chan & M. K. Yuen

  3. Department of Pathology, Hong Kong Children’s Hospital, Hong Kong, Hong Kong

    Amanda N. C. Kan

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  1. Leanne H. Q. Chin
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  2. Kevin K. F. Fung
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Correspondence to Leanne H. Q. Chin.

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Chin, L.H.Q., Fung, K.K.F., Chan, J.P.K. et al. Kaposiform haemangioendothelioma of the spine associated with fixed hyperlordotic deformity and Kasabach–Merritt Syndrome: a case report and literature review. Skeletal Radiol 52, 783–790 (2023). https://doi.org/10.1007/s00256-022-04152-z

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  • DOI: https://doi.org/10.1007/s00256-022-04152-z

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