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[Immature cutaneous hemangiomas. Epidemiologic study of 351 cases]
Insights
Most immature angiomas (IA), also known as strawberry hemangiomas, resolve spontaneously in children. This study tracked 351 IAs, finding that 85% showed good or very good outcomes without treatment.
Area of Science:
- Pediatric Dermatology
- Vascular Anomalies
- Childhood Skin Conditions
Context:
- Cutaneous immature angiomas (IA), or strawberry hemangiomas, are common vascular tumors in infants.
- Understanding their natural course is crucial for appropriate clinical management.
- Previous studies have varied in follow-up duration and population characteristics.
Purpose:
- To determine the natural course and outcomes of cutaneous immature angiomas (IA) in a pediatric population.
- To analyze the clinical features, onset, and complications associated with IA.
- To provide data on the spontaneous involution of untreated IA.
Summary:
- A cohort of 362 children with 461 vascular lesions, including 351 IAs, was observed from 1975-1982.
- The average follow-up period was 2 years, with most IAs presenting in Caucasian infants.
- Spontaneous involution was very good or good in 85% of cases, with minor complications in 12.8%.
Impact:
- This study provides valuable long-term data on the natural history of immature angiomas.
- Findings support conservative management for most IA cases, reducing the need for intervention.
- Highlights the low rate of significant complications and functional impairment, aiding parental counseling.
Abstract:
The purpose of this study was to determine the course of cutaneous immature angiomas in a population of 362 children examined in a pediatric dermatology unit from 1975 to 1982. 461 angiomas were observed in these patients: 110 were of the naevus flammaeus type (port wine stain) including 23 forehead salmon patches. 351 were immature angiomas (IA)--strawberry angiomas. 3.5 p. 100 of children were afflicted of two types of hemangiomas. Results concerning the 282 patients with 351 IA are detailed as followed: average follow-up: 2 years; sex-ratio M/S 1.9, most of them Caucasians. Prematurity (data obtained prospectively during 1982): 19 p. 100; clinical features: dermal: 253, subcutaneous: 35, mixed pattern 63; 2 IA or more were detected in 12 p. 100 of the patients; site: head and neck; 49 p. 100, trunk: 21 p. 100, upper limbs: 14.5 lower limbs: 12 p. 100, genitals 3.5 p. 100; maximal size during follow-up: less than 1 cm: 36 p. 100, between 1 and 3 cm: 43 p. 100, more than 3 cm; 21 p. 100; time of onset: 51 p. 100 were noted at birth, 35 p. 100 during the first month, 13 p. 100 after the first month. Course of untreated IA is shown in figure 1. At the end of follow-up, spontaneous evolution in 52 patients was judged; very good in 44 p. 100, good in 41 p. 100, poor or bad in 15 p. 100. Minor complications (ulceration, infection, bleeding) were observed in 12.8 p. 100. Functional impairment requiring therapy was present in 2/4 plantar IA, 3/30 eyelid IA, 3/3 IA with laryngeal involvement.(ABSTRACT TRUNCATED AT 250 WORDS)