Diffuse miliary hemangiomatosis with hepatic involvement in an infant in Dakar

We report the case of a 03-month-old female infant with no specific history, who was admitted in the Pediatric Department for an abdominal tumor that has evolved for 01 month. The physical examination noticed a large hepatomegaly and multiple raspberry-like papulo-nodules located on the trunk, scalp and limbs. The alpha-fetoprotein level was 842 ng/ml (42 times normal). The abdominal ultrasound and the CT scan made it possible to retain the diagnosis of diffuse miliary hemangiomatosis with liver damage. A favorable evolution was noted with propanolol and corticosteroids after a follow-up of 04 months.