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Acta Paediatr. 2016 Aug;105(8):940-5. doi: 10.1111/apa.13460. Epub 2016 May 31.

Risk factors and morbidity of infantile haemangioma: preterm birth promotes ulceration.

Author information

1
Department of Otorhinolaryngology and Head and Neck Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
2
Department of Paediatric Surgery, Children's and Adolescent's Hospital, Helsinki University Hospital, Helsinki, Finland.
3
Information Services Department, National Institute for Health and Welfare, Helsinki, Finland.
4
Department of Obstetrics and Gynecology, Fetomaternal Medical Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Abstract

AIM:

We identified the characteristics of an infantile haemangioma (IH) that predispose children to complications, interventions and long-term morbidity and examined perinatal risk factors for IH.

METHODS:

We studied children with IHs admitted to Helsinki University Hospital's paediatric vascular anomaly clinic in Finland in 2004-2007 and registered perinatal records, IH characteristics, complications and interventions. These patients received a questionnaire on perinatal data and long-term morbidity resulting from IH. We analysed factors related to complications, interventions and morbidity and compared our cohort's perinatal data to the Finnish Medical Birth Register (FMBR) figures.

RESULTS:

We approached 185 families, of which 136 replied to the questionnaire. Children with facial, segmental and indeterminate IHs showed more complications, interventions and higher long-term morbidity. Preterm birth predisposed infants to ulceration of IHs, with a 95% confidence interval (CI) of 1.02-5.14 and odds ratio (OR) of 2.29. In addition to earlier known risks, maternal gestational diabetes mellitus rate was higher in our IH cohort than the rate in the FMBR (95% CI 1.39-4.95, OR 2.62).

CONCLUSION:

Physicians treating IHs should consider the elevated ulceration risk in preterm infants. The association between gestational diabetes mellitus and child's risk for an IH is uncertain and requires further research.

KEYWORDS:

Gestational diabetes mellitus; Infantile haemangioma; Preterm; Vascular anomalies; Vascular tumour

PMID:
27146410
DOI:
10.1111/apa.13460
[Indexed for MEDLINE]

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