Hemangiomas congénitos rápidamente involutivos. Serie de 25 casos

Larralde, Margarita; Solé, Javier; Luna, Paula Carolina; Mosquera, Tomás; Abad, María Eugenia

doi:10.5546/aap.2014.e61

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…Debemos realizar diagnóstico diferencial con el resto de los tumores vasculares para evitar conductas agresivas innecesarias ya que su evolución, pronóstico y tratamiento es diferente [4].…”

Section: Discussionunclassified

Hemangioma congénito rápidamente involutivo: Reporte de un caso clínico.

Torres Díaz,

Comellas Cruzado,

Moreno Hurtado

2024

Pediatr Panama

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Se presenta el caso de un recién nacido a término que presenta en rodilla derecha masa redondeada, indolora, violácea, no friable ni ulcerada. Se realiza al nacimiento ecografía Doppler compatible con anomalía vascular. La Resonancia Magnética (RM) confirma tumoración anterior en rodilla derecha, isointensa en T2 con escasas estructuras tubulares serpinginosas, que corresponden con vasos sanguíneos. Presenta venas varicosas de drenaje a la Safena Mayor (SM) en cara anterointerna del muslo. Se decidió actitud expectante constatando reducción progresiva del tamaño del hemangioma. Al año de vida, refiere que en ocasiones presenta un bultoma a nivel inguinal derecho que se corresponde en ecografía doppler con cayado de la SM dilatado e incompetente, en probable relación con hiperaflujo de las varicosidades. Se realiza seguimiento en consulta, comprobando involución completa a los dos años, con atrofia cutánea residual en cara anteroexterna de rodilla y vascularización colateral que no aumenta con valsalva. Se trata de un hemangioma congénito rápidamente involutivo (RICH). Según la clasificación ISSVA, es un tumor vascular benigno que involuciona persistiendo leve hiperpigmentación y atrofia cutánea.

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Section: Discussionunclassified

Hemangioma congénito rápidamente involutivo: Reporte de un caso clínico.

Torres Díaz,

Comellas Cruzado,

Moreno Hurtado

2024

Pediatr Panama

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A Case Series of 18 Congenital Haemangiomas: Clinical, Histological and Ultrasound Features, and their Relationship with Complications and Atypical Behaviour

et al. 2023

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Recent studies have advanced our understanding of the clinical, histological and imaging characteristics of congenital haemangiomas (CHs), and have reported possible complications and atypical behaviour. The aim of this study is to describe the clinical, histological and ultrasound features of a series of CHs and to analyse their association with complications and atypical behaviour, with a view to providing diagnostic and management recommendations. The medical records, histology results and ultrasound images of all patients with CH diagnosed in the Dermatology Department of Alicante University General Hospital between 2006 and 2021 were retrospectively reviewed. A total of 18 patients were included, of whom 4 (22.2%) had complications. The most severe was 1 case with heart failure. There was a significant association between large CH size (> 5 cm) and the occurrence of complications (p = 0.019). The study identified 3 different lobule patterns, but found no relationship with CH subtype or other findings. The associations of venous ectasia, venous lakes and arteriovenous microshunts with occurrence of complications was borderline significant (p = 0.055). Study limitations were the small sample and the retrospective analysis. To conclude, haematological and cardiological assessment is indicated in large CHs and should be considered in CHs with ultrasound findings of venous ectasia, venous lakes or arteriovenous microshunts, as these cases present a greater risk of complications.

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Rapidly involuting congenital hemangioma associated with Kasabach-Merritt Syndrome

Ballona¹,

Zevallos²,

Núñez³

2021

J Adv Pediatr Child Health

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Background: Rapidly involuting congenital hemangioma (RICH) is a rare vascular tumor that is present at birth and involutes during the first year of life. Kasabach-Merritt syndrome (KMS) is a complication of some vascular tumors such as kaposiform hemangioendothelioma and tufted angioma associated with thrombocytopenia and coagulopathy. Results: The case of a 2-month-old infant with a diagnosis of RICH with thrombocytopenia and coagulation disorder, successfully treated with surgical excision without complications or recurrence is presented. Conclusion: The association between RICH and KMS is rare. Histopathological study, immunohistochemistry and ultrasound findings are important for the diagnosis. Brief summary: This report covers the rare association between rapidly involuting congenital hemangioma and Kasabach-Merritt syndrome in a 2-months-old female infant.

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Hemangiomas congénitos rápidamente involutivos. Serie de 25 casos

Cited by 3 publications

References 8 publications

Hemangioma congénito rápidamente involutivo: Reporte de un caso clínico.

Hemangioma congénito rápidamente involutivo: Reporte de un caso clínico.

A Case Series of 18 Congenital Haemangiomas: Clinical, Histological and Ultrasound Features, and their Relationship with Complications and Atypical Behaviour

Rapidly involuting congenital hemangioma associated with Kasabach-Merritt Syndrome

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