Original articlePartially involuting congenital hemangiomas: A report of 8 cases and review of the literature
Section snippets
Methods
Between 2001 and 2012, 116 children with a diagnosis of congenital hemangioma were seen at Centre Hospitalier Universitaire Sainte-Justine pediatric dermatology/vascular anomalies clinic. We reviewed the medical charts, serial clinical photographs, imaging, and biopsy specimens of these children.
Results
We identified 8 patients (6.9%) with cutaneous lesions that could be categorized as partially involuting congenital hemangioma. Three male and 5 female full-term, healthy infants presented at birth with a vascular tumor involving the head and neck (n = 2), trunk (n = 3), or extremity (n = 3). The size of the tumor ranged from 2.0 × 1.5 cm to 13.0 × 8.5 cm and the clinical appearance uniformly included a red-purple color, telangiectasia, and surrounding pallor (Fig 1). Two lesions displayed
Discussion
Clinically, RICH and NICH have overlapping features. They show an equal sex distribution and typically present as solitary bossed plaques or flat infiltrative tumors of red to violaceous color with overlying tiny or coarse telangiectasia. Blanching or a halo-like effect may be seen surrounding the lesion. The most common locations are the head, neck, and limbs. Involution of RICH begins shortly after birth, and may present with crusting and scaling of the skin along with central fissuring and
References (16)
- et al.
Prenatal diagnosis of vascular anomalies
J Pediatr Surg
(2002) - et al.
Congenital hemangioma: evidence of accelerated involution
J Pediatr
(1996) - et al.
Congenital hemangiomas and infantile hemangioma: missing links
J Am Acad Dermatol
(2004) - et al.
Early second-trimester sonographic appearance of occipital hemangioma simulating encephalocele
Prenat Diagn
(1992) - et al.
Noninvoluting congenital hemangioma: a rare cutaneous vascular anomaly
Plast Reconstr Surg
(2001) - et al.
Rapidly involuting congenital hemangioma: clinical and histopathologic features
Pediatr Dev Pathol
(2003) - et al.
Angiographic features of rapidly involuting congenital hemangioma (RICH)
Pediatr Radiol
(2003) - et al.
Non-involuting congenital hemangioma associated with high-output cardiomyopathy
J Plast Reconstr Aesthet Surg
(2009)
Cited by (0)
Funding sources: None.
Conflicts of interest: None declared.