LUMBAR syndrome: A case manifesting as cutaneous infantile hemangiomas of the lower extremity, perineum and gluteal region, and a review of published work

J Dermatol. 2017 Jul;44(7):808-812. doi: 10.1111/1346-8138.13763. Epub 2017 Feb 13.

Abstract

We herein report a rare case of LUMBAR syndrome. A 1-month-old female infant presented with extensive segmental hemangiomas on the left lower extremity, left perineum and gluteal region with ulceration. Bilateral labia minoras were asymmetrical. Both legs were asymmetrical with left leg atrophy, and the intergluteal cleft was deviated. A dark red pustule and a sacrococcygeal dimple could be seen in the lumbosacral region. Lipomyelomeningocele, tethered cord and sacrum dysplasia were noted by magnetic resonance imaging. The patient was found to have an absent left kidney at 32 weeks of pregnancy. Eventually, we draw the diagnosis of LUMBAR syndrome. In addition, we discuss the clinical manifestation, diagnosis, treatment and pathogenesis by a review of published work.

Keywords: LUMBAR syndrome; abnormality; infantile hemangiomas; mosaic mutation; myelopathy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abnormalities, Multiple / diagnosis*
  • Abnormalities, Multiple / pathology
  • Adrenergic beta-Antagonists / therapeutic use
  • Biopsy
  • Buttocks / abnormalities
  • Female
  • Hemangioma / diagnosis*
  • Hemangioma / drug therapy
  • Hemangioma / pathology
  • Humans
  • Infant
  • Lower Extremity
  • Lower Extremity Deformities, Congenital / diagnosis*
  • Lower Extremity Deformities, Congenital / pathology
  • Magnetic Resonance Imaging / methods
  • Meningomyelocele / diagnosis*
  • Meningomyelocele / pathology
  • Perineum / abnormalities
  • Prenatal Diagnosis
  • Propranolol / therapeutic use
  • Rare Diseases / diagnosis*
  • Rare Diseases / drug therapy
  • Rare Diseases / pathology
  • Sacrum / abnormalities
  • Skin Abnormalities / pathology
  • Skin Neoplasms / diagnosis*
  • Skin Neoplasms / drug therapy
  • Skin Neoplasms / pathology
  • Skin Ulcer / diagnosis*
  • Skin Ulcer / drug therapy
  • Skin Ulcer / pathology
  • Solitary Kidney / diagnosis*
  • Solitary Kidney / pathology
  • Syndrome

Substances

  • Adrenergic beta-Antagonists
  • Propranolol

Supplementary concepts

  • Lipomyelomeningocele