THE ASSOCIATION of thrombocytopenic purpura with large hemangiomas has been reported in seven infants.* Management of this condition has consisted of irradiation of the hemangioma, blood transfusions, and, in two cases, splenectomy. One author6 states that splenectomy was probably not effective as a treatment of the thrombocytopenia in this syndrome. We wish to report a case in which splenectomy was followed by complete regression of the thrombocytopenia and hemangioma.
REPORT OF A CASE
A one-month-old white boy was admitted on April 17, 1953. He was born at full term, and delivery was spontaneous. The mother was normal and the pregnancy uncomplicated. His birth weight was 7 lb. 2 oz. The only abnormality noted at birth was a bluish discoloration, 2½ in. in diameter, involving the skin over the right deltoid area.Circumcision was performed two days after birth without abnormal bleeding.At 2 weeks of age the lesion on