A ten-year-old girl brought with bleeding lips. Past history of similar episodes of bleeding from lips. No bleeding from the nose, gums. No hematemesis, melena, hematuria. Detected to have swelling lips and lower half of face since four months of age. which grew for two years and later regressed. O/E.An intelligent girl, well grown.
Vitals stable, No neurocutaneous markers. No other swellings apart from what is seen in the photographs (Lower lips and below the left chin. Few different type of lesions verrucous were seen on the tongue both on the front and dorsal aspects. System examination within normal limits. No bruits over internal organs, over the skull. Investigations Blood counts, platelets normal Ophthalmological work up within normal limits Planning CT angiogram. Kindly share your opinion regarding this case.