Asymmetric Overgrowth and a Facial Port Wine Stain

A 3-month-old girl presented with generalized marbling of the skin (cutis marmorata) and a striking port wine stain on the philtrum present since birth (Figures  1 and 2). A bilateral sandal gap between the great and second toes (Figure 3), macrodactyly of the left second toe, overgrowth of both feet, hands, and her right leg as well as joint hypermobility were noted. Upon physical and neurologic examination, including measurement of head circumference, n o other pathologic findings were observed.

Source: The Journal of Pediatrics - October 5, 2020 Category: Pediatrics Authors: Peter Seiringer, Tilo Biedermann, MD, Christina Schnopp, MD Tags: Rediscovering the Physical Exam Source Type: research