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Case report reveals possible PHACE syndrome absence of infantile hemangioma in a 4-month-old girl, suggesting broader criteria for diagnosis.
A 4‐month‐old, full‐term girl was referred for evaluation of a supraumbilical raphe and an anomalous aortic arch. Further work up for PHACE(S) syndrome was pursued, despite the absence of a cutaneous infantile hemangioma (IH), which identified hypoplastic and dysplastic cerebral vasculature. We present this case to raise awareness of possible PHACE(S) syndrome even in children without cutaneous IHs and the importance of recognizing supraumbilical raphe as a sentinel finding.
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Cote et al. (2026) studied this question.
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