Multifocal epithelioid haemangioma of the lower limb bones in a child: an unusual presentation

A previously healthy female patient in her mid-childhood presented to the paediatric emergency department with pain and a limp in the right leg for the past 1 month. She was initially diagnosed with growing pains, and the lower limb X-rays showed multiple lytic lesions on the bones. A whole-body MRI scan revealed multifocal lesions in both lower limb bones, and the biopsy confirmed the lesions to be epithelioid haemangioma. Because of the multifocal involvement, the child required ongoing multidisciplinary management. This case study discusses this locally aggressive neoplasm, its ubiquitous nature, histopathology and differential diagnosis.