Infant reticular hemangioma

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

IH-MAG; infantile haemangioma with minimal or arrested growth

Definition
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Abortive, less proliferative variant of the classic infant hemangioma. The term "IH-MAG = infantile haemangioma with minimal or arrested growth" results from the largely missing growth dynamics.

Localization
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Mainly on the lower extremity.

Clinical features
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Red spot of varying size and intensity with reticular vascular drawing and possibly individual red papules in the border area.

Histology
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No difference to the classic infant hemangioma. Lobular vascular pattern with partly solid and undifferentiated, partly differentiated capillary vascular proliferates or also ectatic vascular spaces with ripe cell endothelial lining which expand in cutis and subcutis. Immunohistology: The endothelia are (in contrast to RICH/NICH and the nevus flammeus) positive for GLUT-1 antibodies.

Differential diagnosis
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  • Naevus flammeus: The differentiation can be difficult, since both diseases do not show any change dynamics in the first year of life. It is advisable to wait strictly.
  • Classic infant hemangioma: Typical growth dynamics in the first months of life.

Complication(s)
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Neurological and cardiac malformations have been described but are very rare.

Literature
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  1. High PH (2012) Hemangiomas. dermatologist 63: 112-120
  2. Suh KY et al (2010) Infantile hemangiomas with minimal or arrested growth. Arch Dermatol 146: 971-976

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020