A warning sign of other vascular/skeletal abnormalities

A 2-year-old male (Fig 1) was referred for asymptomatic skin lesions on the lip and neck that had been present since birth. The physical examination revealed the presence of a capillary malformation on the lower lip of deep red color and well-defined frayed edges that exceeded the lip vermilion (Fig 2). He also had a purple-blue rubbery tumor on the anterior aspect of his neck that became more evident with crying. The patient also had mild facial asymmetry with a cranial perimeter in the upper normal limit.

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