Infantile haemangiomas and quality of life

Arch Dis Child. 2013 Sep;98(9):676-9. doi: 10.1136/archdischild-2013-303745. Epub 2013 Jul 17.


Objective: To determine the quality of life (QOL) and self-esteem of children with infantile haemangiomas using objective measures.

Design: Twenty-one children, 5-8 years old, with a diagnosis of head or neck haemangioma measuring 2 cm or more, were compared with 22 children with no history of haemangioma.

Setting: A tertiary medical centre in the north of Israel.

Interventions: Demographic and clinical details were collected, followed by two questionnaires-Paediatric Quality of Life Inventory (PedsQL) and Harter pictorial scale of Perceived Competence and Social Acceptance for young children-answered by children and parents of the two groups.

Main outcome measures: QOL and self-esteem of the children in the two groups.

Results: There were no significant differences in QOL indices or self-perception scores between children with and without haemangioma (86.6±10.3 vs 80.1±15.07, p=0.23 and 3.62±0.2 vs 3.72±0.21, p=0.17, respectively). Interestingly, parents of children with haemangioma reported higher QOL of their children than parents of children without haemangioma (86.4±9.6 vs 77.1±14.9, p<0.03). Likewise, a positive correlation between parents' scored PedsQL and children's scored PedsQL was found (0.56, p=0.008).

Conclusions: The findings raise a question about aggressive as opposed to more conservative treatment, especially in the era of propranolol.

Keywords: Clinical Procedures; Dermatology; Psychology.

MeSH terms

  • Child
  • Child, Preschool
  • Female
  • Head and Neck Neoplasms*
  • Hemangioma*
  • Humans
  • Israel
  • Male
  • Quality of Life*
  • Self Concept
  • Surveys and Questionnaires