Skin shell

    Infant at screening at 1 month. From birth observed with an extensive area of skin changes type of hemangioma in the back and lower limbs.

    In the projection of complaints about the lesion of a cyanotic hue along the lateral surface of the left thigh, ultrasound shows thickening of the subcutaneous soft tissues with the formation of acoustic shadows, without reliable signs of blood flow at CFM (differential diagnosis: hemangioma, etc.).

    After the ultrasound, he was consulted in the one of children's hospital in Moscow, a biopsy and tests were taken, but the diagnosis was not made.

    Objectively, the skin is blue-red in color with white dots, dense like a shell, the presence of osteoclasts is described in the skin biopsy, one of the diagnoses sounds like ossification. In blood tests, according to the mother of the child, an increase in AST and parathyroid hormone.

    PS. A colleague suggested it could be an osteoclastoma external link

    Same child 11 months.

    On the current ultrasound, I looked at the thymus, the right lobe has reduced echogenicity, does not exclude a lesion.

    Recommended MRI.