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Venous malformations: Clinical course and management of vascular birthmark clinic cases

Michelle Y McRae1, Susan Adams, John Pereira

  • 1Paediatric Dermatology, Sydney Children’s Hospital, Randwick, NSW, Australia. michelle_mcrae@hotmail.com

The Australasian Journal of Dermatology
|October 23, 2012
PubMed

Insights

Venous malformations (VM) are uncommon birthmarks affecting children, often diagnosed late. Management requires a multidisciplinary team due to frequent complications and varied treatment needs.

Area of Science:

  • Pediatric Vascular Anomalies
  • Dermatology
  • Radiology

Background:

  • Venous malformations (VM) are rare congenital vascular anomalies with an incidence of 1-2 per 10,000 births.
  • Early identification and characterization are crucial for effective management and research.
  • Understanding the clinical spectrum and treatment outcomes is essential for improving patient care.

Purpose of the Study:

  • To define the clinical characteristics of venous malformations in children.
  • To outline the management strategies employed for pediatric VM.
  • To establish a database for future research into venous malformations.

Main Methods:

  • Retrospective chart review of pediatric patients with VM.
  • Data collected from patients presenting to a Vascular Birth Mark clinic between 2000 and 2011.
  • Inclusion of demographic, clinical, diagnostic, and treatment data.

Main Results:

  • 128 pediatric patients were analyzed, with a majority being female and Caucasian.
  • Lesions were often present at birth, with delayed diagnosis (average 65.9 months).
  • Common sites included lower limbs and face; frequent complications included pain, thrombophlebitis, and bleeding, necessitating interventions like sclerotherapy and compression therapy.

Conclusions:

  • Venous malformations frequently associate with other vascular anomalies and cause significant morbidity.
  • A multidisciplinary approach involving various specialists is vital for optimal management.
  • Specialized care is recommended for children with venous malformations.
Abstract

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