[Subgaleal hematoma in paediatric patients; a swelling on the head due to traction during hair styling].

Autor: Oldenburg MFA; Hagaziekenhuis, Juliana Kinderziekenhuis, Den Haag.; Contact: m.f.a.oldenburg@gmail.com., van Kempen E; Hagaziekenhuis, Juliana Kinderziekenhuis, Den Haag., Bodaar K; Hagaziekenhuis, Juliana Kinderziekenhuis, Den Haag., Holband N; Hagaziekenhuis, Juliana Kinderziekenhuis, Den Haag., Klerx-Melis F; Hagaziekenhuis, Juliana Kinderziekenhuis, Den Haag., Vos P; Hagaziekenhuis, Juliana Kinderziekenhuis, Den Haag.
Jazyk: Dutch; Flemish
Zdroj: Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2024 Jul 25; Vol. 168. Date of Electronic Publication: 2024 Jul 25.
Abstrakt: Background: In this article we describe an underexposed cause of subgaleal hematoma in the older child. Subgaleal hematomas are well-known in the context of trauma or blood clotting disorders. International literature acknowledges excessive force during hair styling as a possible cause. Here, we present two cases to illustrate the importance of a complete patient work-up.
Case Description: Recently, two patients presented themselves at Juliana Children's Hospital, the Hague, the Netherlands, with a swelling on the head and headache with no obvious cause. Radiological imaging showed subgaleal hematomas. Upon questioning, both patients mentioned using extensive traction while styling their hair.
Conclusion: In conclusion, when analysing an older child with a swelling on the head with no obvious cause, consider the diagnoses subgaleal hematoma due to hair traction. It might be helpful to observe them styling their hair. A proper clinical review can therefore prevent over-testing and overtreatment.
Databáze: MEDLINE