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Jeffrey Knispel, MD; James C. Shaw, MD
University of Chicago Hospitals, Chicago, Ill

Arch Dermatol. 2001;137:365-370.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 3-week-old full-term African American boy presented for evaluation of a perianal ulcer (Figure 1) that had begun to develop on the third day of life. He was not febrile and was otherwise feeding well and thriving. He had been admitted to 2 hospitals and treated intravenously with both clindamycin and ampicillin-sulbactam, without improvement.

Figure 1.

Physical examination revealed a 1-cm shallow ulcer with a slightly rolled border and surrounding erythema on the right buttock near the anal verge. There was a similar 5-mm shallow ulcer superiorly. A 3-mm punch biopsy specimen was obtained from the edge of the ulcer and stained with hematoxylin-eosin (Figure 2).

Figure 2.

What is your diagnosis?

Diagnosis: Infantile perianal hemangioma.

The biopsy specimen demonstrated dilated vessels in the upper dermis, consistent with a hemangioma. The results of a viral culture and a direct fluorescent antibody test for . . . [Full Text of this Article]

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