By Gary M. White, MD
The acronym of LUMBAR syndrome has been used to describe the association of a lower-body hemangioma with other cutaneous defects.
- Lower body hemangioma (most commonly lower back or buttocks)
- Urogenital abnormalities (e.g. bladder, vagina) or Ulceration
- Myelopathy (malformation of the spinal cord, e.g. tethered cord)
- Bone abnormalities (e.g. deformity of the foot)
- Anorectal or Arterial abnormalities
- Renal disorders, (e.g. one kidney instead of two)
A recent prospective study demonstrated that isolated cutaneous infantile hemangiomas (IH) of the lumbosacral region have one of the highest risks (relative risk of 438) of associated spinal dysraphism, including in decreasing order of frequency, tethered cord, spinal lipoma, intraspinal hemangioma, and sinus tract [Pediatr Radiol. 2012 Mar;42(3):315-20].
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