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Genetic and Environmental Risk Factors for Isolated Hemangiomas in Infants
Anna Materna-Kiryluk1, Katarzyna Wiśniewska2, Barbara Więckowska3
1Polish Registry of Congenital Malformations, Chair and Department of Medical Genetics, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
Insights
Infantile hemangiomas (IH) are linked to lower birth weight and gestational age. Female infants with a family history of IH show increased risk, suggesting multifactorial inheritance involving genetics and hormones.
Area of Science:
- Pediatrics
- Dermatology
- Genetics
Background:
- Infantile hemangiomas (IH) are common vascular tumors in infants.
- Understanding IH predisposition is crucial for early intervention.
- Etiology of IH is not fully understood, likely multifactorial.
Purpose of the Study:
- Identify risk factors for infantile hemangiomas (IH).
- Investigate predisposition to hemangioma development.
- Analyze familial patterns and potential inheritance models.
Main Methods:
- Retrospective analysis of live birth children with isolated cutaneous hemangioma.
- Data collected from the Polish Registry of Congenital Malformations (1998-2016).
- Statistical analysis to identify significant risk factors and familial associations.
Main Results:
- Lower birth weight and gestational age are significant risk factors for IH.
- Lower parental education showed a trend towards higher IH risk.
- Female infants with maternal family history of IH had higher risk.
Conclusions:
- Exogenous factors likely contribute to IH etiology.
- Familial IH cases suggest a multifactorial inheritance model.
- Female gender and hormonal influences may play a role in familial IH expression.
Abstract:
The goal of this analysis is to identify risk factors for infantile hemangiomas (IH) to better delineate hemangioma predisposition. We analyzed live birth children with isolated cutaneous hemangioma that were reported to the Polish Registry of Congenital Malformations from across Poland between the years 1998 and 2016. Lower birthweight and gestational age were the most significant risk factors associated with IH. We also observed a trend for a higher risk of IH with a lower level of maternal and paternal education. Moreover, mothers with IH have a higher probability of having a child with IH compared to fathers. However, this association is only present when the child is female. Similarly, a higher risk of hemangioma in a female child is found among mothers having relatives of the first degree with IH, compared to fathers with a similar pedigree. Our results suggest the role of exogenous factors in the etiology of IH. The analysis of familial cases suggests a multifactorial model of inheritance. The study indicates that female gender is an important risk factor for the expression of familial IH. Potential interaction of genetic risk factors with exposure to female sex hormones may play a role in the development of IH.
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