Spontaneous haemorrhage in a healthy newborn

A full-term male neonate, who was born by vaginal delivery without trauma, presented a small purple tumefaction on his back at 8 h of life, with a tender consistency. It was well defined and interpreted as a haemangioma. At 24 h of life he became lethargic, pale, tachycardic and the tumefaction worsened (figures 1 and 2).1 ,2 A careful …