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. 2020 Dec 7;4(1):e000816.
doi: 10.1136/bmjpo-2020-000816. eCollection 2020.

Congenital haemangiomas: a single-centre retrospective review

Victoire Braun #  1 , Sorilla Prey #  1   2 , Carlotta Gurioli  3 , Franck Boralevi  1   2 , Alain Taieb  1   2 , Nicolas Grenier  4 , Maya Loot  5 , Marie-Laure Jullie  6 , Christine Léauté-Labrèze  1   2
Affiliations

Congenital haemangiomas: a single-centre retrospective review

Victoire Braun et al. BMJ Paediatr Open. .

Abstract

Objective: Congenital haemangiomas (CHs) are rare, benign vascular tumours that are fully developed at birth. Three subtypes of CHs have been described based on clinical behaviour: rapidly involuting CHs (RICHs), non-involuting CHs (NICHs) and partially involuting CHs (PICHs). We explore in our study clinical, evolutionary and paraclinical characteristics of the three CH subtypes.

Design: Children with CH attending our department of paediatric dermatology at Bordeaux University Hospital over a 13-year period were retrospectively included. Epidemiological, clinical and evolutionary data, photographs and imaging results were reviewed. All available tissue samples were histologically examined.

Results: We included 57 patients: 22 with RICH, 22 with NICH and 13 with PICH. Males predominated (ratio 1.7); the most common CH location was on the limbs. RICH, NICH and PICH exhibited overlapping characteristics; all were single telangiectatic lesions with pale peripheral halos. At birth, NICHs were flat but RICHs and PICHs bulky. The median age at complete RICH involution was 12 months. One-third of CHs that appeared RICH-like at birth underwent incomplete involution to become PICHs. Heart failure and thrombocytopenia were rare complications. PICHs were frequently ulcerated. Pain was common for NICH and PICH. The imaging and histological data of the three CH subtypes were rather similar.

Conclusions: We describe the characteristics and evolution of the three CH subtypes using a case series. Certain overlapping features were apparent, reinforcing the hypothesis that RICH, NICH and PICH lie on the same pathological spectrum.

Keywords: dermatology; neonatology; therapeutics.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Rapidly involuting congenital haemangiomas.
Figure 2
Figure 2
Non-involuting congenital haemangiomas.
Figure 3
Figure 3
Partially involuting congenital haemangiomas.
See this image and copyright information in PMC

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