Non-Involuting Congenital Hemangioma (NICH) Complicated by Late Sudden Necrosis and Scarring

Pediatr Dermatol. 2026 May-Jun;43(3):750-753. doi: 10.1111/pde.70187. Epub 2026 Mar 8.

Abstract

Congenital hemangiomas (CHs) are benign vascular tumors present at birth and categorized into rapidly involuting, non-involuting, and partially involuting subtypes. They usually follow a benign course and may be associated with mild complications such as ulceration, pain, or localized thrombosis. Thrombosis is typically self-limited and local, and can be managed without systemic anticoagulation therapy. We report a pediatric patient without systemic coagulopathy who has a CH with thrombosis leading to total necrosis and near-complete regression.

Keywords: child; hemangioma; hypoxia; thrombosis; vascular tumors.

Publication types

  • Case Reports

MeSH terms

  • Cicatrix* / etiology
  • Cicatrix* / pathology
  • Female
  • Hemangioma* / complications
  • Hemangioma* / congenital
  • Hemangioma* / pathology
  • Humans
  • Male
  • Necrosis / etiology
  • Skin Neoplasms* / complications
  • Skin Neoplasms* / congenital
  • Skin Neoplasms* / pathology
  • Thrombosis* / etiology