A patient developing sudden enlargement and firmness in a preexisting large hemangioma, with easy bruising and petechiae, should be suspected of having Kasabach-Merritt syndrome, a coagulopathy characterized by thrombocytopenia occurring in patients with large hemangiomas. Platelet trapping within the enlarging hemangioma may result in secondary disseminated intravascular coagulation. These patients require hospitalization and treatment with prednisone (2 to 4 mg per kg per day) or interferon alfa-2a (Roferon-A) in steroid-resistant patients. External compression bandages and transfusion of supportive blood products facilitate recovery. If hemorrhage is prevented, recovery is usually complete. 3
Amen John Harrington and Andrew. There are much more important things for our Congress to be working on than baseball. We are just wasting our tax dollars here. Why won’t they tackle a much more important issue. For example: healthcare, gas prices, subprime scandal, recession, Iraq and Afganistan Wars, loss of manufacturing jobs, etc… I don’t think steroids in baseball ranks above any that I have mentioned. What is the ROI on this investigation? I would rather know that my kid will have a country to inherit, that still speaks English and not Chinese or Arabic in 15 years.
CST most commonly results from contiguous spread of infection from a nasal furuncle (50%), sphenoidal or ethmoidal sinuses (30%) and dental infections (10%).  Less common primary sites of infection include tonsils, soft palate, middle ear, or orbit ( orbital cellulitis ). The highly anastomotic venous system of the paranasal sinuses allows retrograde spread of infection to the cavernous sinus via the superior and inferior ophthalmic veins. It was previously thought that veins in the area were valveless and that this was the major cause of the retrograde spread, however, a recent study has found that the ophthalmic and facial veins are not valveless.