Partially involuting congenital hemangiomas: A report of 8 cases and review of the literature
| Autor: | Victor Kokta, Josée Dubois, Catherine McCuaig, Maryam Piram, Julie Powell, Eiman Nasseri |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Pathology Skin Neoplasms Biopsy Dermatology Lesion Infantile hemangioma medicine Humans Congenital Hemangioma Pediatric dermatology Child Head and neck Ultrasonography Rapidly involuting congenital hemangioma business.industry Infant Newborn Infant medicine.disease Magnetic Resonance Imaging eye diseases Child Preschool Female sense organs Radiology medicine.symptom Hemangioma business |
| Zdroj: | Journal of the American Academy of Dermatology. 70:75-79 |
| ISSN: | 0190-9622 |
| DOI: | 10.1016/j.jaad.2013.09.018 |
| Popis: | Background Congenital hemangiomas have been divided into 2 major subtypes based on clinical behavior: rapidly involuting congenital hemangioma (RICH) and noninvoluting congenital hemangioma (NICH). Objective We describe a clinical subtype of congenital hemangioma that begins as a RICH but fails to completely involute and persists as a NICH-like lesion. We propose the term "partially involuting congenital hemangioma" for this lesion with overlapping features. Methods A review of the medical charts, serial clinical photographs, imaging, and biopsies performed on children with a diagnosis of partially involuting congenital hemangioma between 2001 and 2012 at Centre Hospitalier Universitaire Sainte-Justine pediatric dermatology/vascular anomalies clinic was performed. Results Eight full-term, healthy infants presented at birth with vascular lesions typical of RICH. Affected locations included the head and neck, trunk, or extremities. Size varied from 2.0 × 1.5 cm to 13.0 × 8.5 cm. All had rapid involution during the first 12 to 30 months of life before stabilizing in size and appearance. Limitations Only a small number of cases were identified. Conclusion Partially involuting congenital hemangiomas are congenital hemangiomas with a distinct behavior, evolving from RICH to persistent NICH-like lesions. Their recognition and study will help us better understand whether RICH and NICH are indeed separate entities or simply part of a spectrum. |
| Databáze: | OpenAIRE |
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