Clinical characteristics and treatment options of cutaneous vessel abnormalities.
- Author:
Li LI
1
;
Zi-Gang XU
;
Yu-Juan SUN
;
Lin MA
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Child; Child, Preschool; Face; Female; Hemangioma; congenital; therapy; Humans; Infant; Infant, Newborn; Male; Retrospective Studies; Skin Neoplasms; therapy
- From: Acta Academiae Medicinae Sinicae 2009;31(1):37-41
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo summarize the clinical characteristics and treatment options of cutaneous vessel abnormalities.
METHODSThe clinical data of 384 pediatric patients with cutaneous vessel abnormalities who were treated in Beijing children's Hospital from January 2007 to December 2007 were retrospectively analyzed. Patients were classified according to International Society for the Study of Vascular Anomalies (ISSVA) classification method.
RESULTSOf the 384 patients, infantile hemangioma was confirmed in 185 patients (male : female = 1 : 1.7). Most children (78.4%) were taken to our department when they were within six months. The skin injuries were mainly located on the head and face (50.8%). Congenital hemangioma was confirmed in 132 patients (male : female = 1 : 1.9). Most children (75.0%) were taken to our department when they were within six months. The skin injuries were mainly located on the head and face (37.1%). Capillary malformation was confirmed in 27 patients (male: female = 1 : 1.3). Most children (40.7%) were taken to our department when they were within one year old. The skin injuries were mainly located on the head and face (77.8%). Venous malformation was confirmed in 16 patients (male : female = 1 : 1.3). Most children (31.3%) were taken to our department when they were within one year old. The skin injuries were mainly located on the head and face (56.3%). Of the 384 patients, 250 patients (65.1%) were treated by watching and waiting. Eighty of these 250 patients were followed up, which showed that, when these children were 1. 5-2 years old, the lesions' color lightened and their areas reduced by half and lesions almost disappeared in 34 patients.
CONCLUSIONSInfantile hemangioma and congenital hemangioma are two common cutaneous vessel abnormalities in children. Their incidences were higher in female than in male. Cutaneous vessel abnormality with endothelial cell proliferation has an earlier onset age. Skin injuries are mostly seen in face. Most pediatric patients experience good prognosis after being treated with watching and waiting.
