[Acute complications of vascular anomalies in childhood]

M Fließer1, A Teichler2, P H Höger2

  • 1Abt. Pädiatrische Dermatologie/Allergologie, Kath. Kinderkrankenhaus Wilhelmstift, Liliencronstr. 130, 22149, Hamburg, Deutschland. m.fliesser@kkh-wilhelmstift.de.

Insights

Childhood vascular anomalies require prompt attention. Some, like infantile hemangiomas, kaposiform hemangioendothelioma, and Klippel-Trenaunay syndrome, can cause severe complications needing immediate medical intervention.

Area of Science:

  • Pediatric vascular anomalies
  • Childhood vascular malformations
  • Congenital vascular disorders

Background:

  • Vascular anomalies are frequent in children.
  • Some vascular skin alterations are benign, while others pose significant health risks.
  • Prompt diagnosis and treatment are crucial for managing severe complications.

Purpose of the Study:

  • To highlight common childhood vascular anomalies.
  • To present typical complications associated with these anomalies.
  • To emphasize the need for timely intervention in specific cases.

Main Methods:

  • Case examples of three distinct vascular anomalies were reviewed.
  • Associated complications were identified for each anomaly.
  • Clinical presentation and potential sequelae were analyzed.

Main Results:

  • Infantile hemangiomas can lead to obstruction or ulceration, necessitating urgent treatment.
  • Kaposiform hemangioendothelioma is associated with life-threatening consumption coagulopathy.
  • Klippel-Trenaunay syndrome presents risks of thrombosis, localized coagulopathy, and superinfections.

Conclusions:

  • Early recognition of specific vascular anomalies is vital.
  • Prompt management can prevent severe or life-threatening complications.
  • A spectrum of vascular anomalies in children requires tailored medical approaches.

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
365
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
408
Varicose Veins I: Introduction01:26

Varicose Veins I: Introduction

Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
253
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
2.1K
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
447
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
239