Vascular nevi in children

Indian J Dermatol Venereol Leprol. 2006 Jan-Feb;72(1):19-23. doi: 10.4103/0378-6323.19712.

Abstract

Background: Vascular nevi are cutaneous anomalies of angiogenesis and vasculogenesis resulting in various different clinical presentations.

Aim: The purpose of our descriptive study was to observe the various types of vascular nevi in children and their features.

Methods: A total of 4256 pediatric cases attending the dermatology OPD during the study period from August 2002 to August 2004 were screened for vascular nevi.

Results: Out of these, 19 children (0.44%) had vascular nevi-17 hemangiomas of infancy (HOIs) and 2 port-wine stains. The mean age of the affected children was 1.3 years (ranging from 2.5 months to 8 years). There were 13 girls and 6 boys. Seventeen (89.5%) patients had progressing lesions and two (10.5%) had non-involuting ones. A solitary lesion was seen in ten (52.6%) cases and two to five lesions were present in five (26.3%) cases. The nevi were distributed over multiple sites in seven (36.8%) cases, the head and neck in six (31.6%) cases, the chest and lower limb in two (10.5%) cases each, and the upper limbs and genitalia in one (5.3%) case each. Among the hemangiomas of infancy, 15 (88.2%) cases of superficial type and 2 (11.8%) cases of deep type were seen. The cutaneous complications included ulceration in four cases and infection in one.

Conclusions: HOIs were the most common vascular nevi of childhood.

MeSH terms

  • Child
  • Child, Preschool
  • Disease Progression
  • Female
  • Head and Neck Neoplasms / diagnosis
  • Hemangioma* / diagnosis
  • Hemangioma* / epidemiology
  • Hemangioma* / pathology
  • Humans
  • Male
  • Nevus* / diagnosis
  • Nevus* / epidemiology
  • Port-Wine Stain* / diagnosis
  • Port-Wine Stain* / epidemiology