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Rapidly involuting congenital hemangioma (RICH): a brief case report
Robert Scalise1, Joanna Bolton, Neil F Gibbs
1US Naval Hospital Guam. robertscalise@gmail.com.
Dermatology Online Journal
|November 25, 2014
Summary
Rapidly involuting congenital hemangiomas (RICH) are vascular tumors present at birth that shrink in the first weeks of life. This case study follows an infant with scalp RICH for 26 weeks.
Area of Science:
- Pediatric Dermatology
- Vascular Anomalies
- Neonatal Neoplasms
Background:
- Congenital hemangiomas (CH) are benign vascular tumors diagnosed at birth.
- Two subtypes exist: rapidly involuting congenital hemangiomas (RICH) and non-involuting congenital hemangiomas (NICH).
- RICH undergoes involution starting shortly after birth, while NICH does not involute.
Observation:
- A case of congenital hemangioma on the scalp of an infant is presented.
- The infant was examined at birth and observed for a period of 26 weeks.
- The lesion's characteristics were monitored throughout the observation period.
Findings:
- The observed congenital hemangioma exhibited characteristics consistent with the RICH subtype.
- Early involutional changes were noted, aligning with the typical progression of RICH.
- The clinical course documented the involutional process over 26 weeks.
Implications:
- This case highlights the clinical presentation and natural history of rapidly involuting congenital hemangiomas.
- Understanding RICH involution is crucial for accurate diagnosis and management of neonatal vascular lesions.
- Further case studies can contribute to a comprehensive understanding of CH subtypes.
