en POLSKI
eISSN: 2300-8660
ISSN: 0031-3939
Pediatria Polska - Polish Journal of Paediatrics
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4/2024
vol. 99
 
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abstract:
Case report

Harlequin syndrome associated with mediastinal ganglioneuroma: a case report

Aleksandra Czapla
1
,
Szymon Ejzak
1
,
Katarzyna Pawelec
2
,
Jadwiga Małdyk
3
,
Mariusz Cieślak
2

  1. Student Scientific Group ‘SPHEROCYTE’, Department of Paediatric Haematology and Oncology, Medical University of Warsaw, Warsaw, Poland
  2. Department of Paediatric Haematology and Oncology, Medical University of Warsaw, Warsaw, Poland
  3. Department of Pathology, Medical University of Warsaw, Warsaw, Poland
Pediatr Pol 2024; 99 (4): 374-377
Online publish date: 2024/12/30
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Harlequin syndrome (HS) is a rare disorder of the autonomic nervous system, caused by unilateral damage to sympathetic fibers innervating the face. The symptoms appear in response to physical activity or heat exposure and present with hemifacial flushing and asymmetric sweating. HS can be idiopathic or associated with an underlying disease. One of the causes of HS in the pediatric population might be a differentiated benign neuroblastic neoplasm-ganglioneuroma. It is often detected in older children and adults, with the most typical location within the posterior mediastinum. In this paper, we present the case of a 3-year-old patient with face discoloration and a massive mediastinal tumor (ganglioneuroma). This study highlights the importance of identifying the cause of HS and the possibility of ganglioneuroma occurring in younger children.
keywords:

Harlequin syndrome, ganglioneuroma, mediastinal tumor

 
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