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En la exploración no se evidenció edema, proptosis ni alteración en la motilidad ocular. Se realizó ecotomografía doppler color visualizándose una formación hipoecogénica, sólida, en el tejido adiposo intraorbitario extraconal medial y superior, compatible con hemangioma infantil en fase proliferativa, que comprometía el borde medial de la musculatura orbicular palpebral superior y protruía hacia el plano dérmico, con medidas de 9,8<span class="elsevierStyleHsp" style=""></span>mm en el eje transverso, 11,6<span class="elsevierStyleHsp" style=""></span>mm en el eje anteroposterior y 8,5<span class="elsevierStyleHsp" style=""></span>mm en el eje longitudinal (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>B). Con doppler color se observaban prominentes vasos en su interior que presentaban flujos arteriales y venosos de mediana a baja velocidad, alcanzando los vasos arteriales un pico sistólico máximo de 37,6<span class="elsevierStyleHsp" style=""></span>cm/s (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>C).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">La realización de una ecotomografía doppler color en lactantes con lesiones focales eritematosas palpebrales puede ser fundamental para determinar de forma rápida, segura y precisa la naturaleza, extensión y grado de vascularización de una anomalía vascular intra-orbitaria, lo que puede ser crítico para iniciar un tratamiento precoz.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-02-28" "fechaAceptado" => "2018-05-12" "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 676 "Ancho" => 900 "Tamanyo" => 81141 ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00017310/0000011100000004/v3_202009220625/S0001731019301656/v3_202009220625/es/main.assets" "Apartado" => array:4 [ "identificador" => "41021" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes en Dermatología" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00017310/0000011100000004/v3_202009220625/S0001731019301656/v3_202009220625/es/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731019301656?idApp=UINPBA000044" ]
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