Precise diagnosis and appropriate management of cutaneous vascular anomalies have been confounded by confusion in nomenclature and dilemmas in management. Vascular anomalies are now classified into vascular tumors and vascular malformations. They are not only cosmetically disfiguring but can also be associated with serious medical disorders and can even be life threatening. The absolute indications for referring a neonate with vascular anomalies include a rapidly proliferative hemangioma, ulceration, bleeding, destruction, distortion, obstruction, and congestive heart failure. Multidisciplinary clinics effectively address these complicated and troubling disorders by providing accurate diagnoses, clear treatment recommendations, and counseling from a team of specialists.
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References
1.
BoonLM & VikkulaM.Vascular malformations. In Fitzpatrick's dermatology in General Medicine.7th edn. Eds FreedbergIM. McGraw-Hill2007;1651–1666.
2.
JacobsAH, WaltonRG: The incidence of birthmarks in the neonate. Pediatrics1976, 58:218–222.
3.
MargilethAM, MuselesM.Cutaneous hemangiomas in children: diagnosis and conservative management. JAMA1965, 194:523–526.
4.
AmirJ, MetzkerA, KriklerR, et al: Strawberry hemangioma in preterm infants. Pediatr Dermatol1993, 1:58–68
5.
BleiF, WalterJ, OrlowSJ, et al: Familial segregation of hemangiomas and vascular malformations as an autosomal dominant trait. Arch Dermatol1998, 134:718–22
6.
MillerAC, Pit-Ten CateIM, WatsonHS: Stress and family satisfaction in parents of children with facial port-wine stains. Pediatr Dermatol1999, 16: 190–197.
7.
FishmanSJ, MullikenJB.Hemangiomas and vascular malformations of infancy and childhood. Pediatr Clin North Am1993;40:1177–1200
8.
NorthPE, WanerM, MizerackiA, MihmMCJr.GLUT1: a newly discovered immunohistochemical marker for juvenile hemangiomas. Hum Pathol. 2000;31:11–22.
9.
MetryDW, HerbertAA: Benign cutaneous vascular tumors of infancy: when to worry, what to do. Arch Dermatol2000, 136:905–914.
10.
MillerT and FriedenIJ.Vascular tumors. In Fitzpatrick's dermatology in General Medicine.7th edn. Eds FreedbergIM. McGraw-Hill2007;1165–1172.
11.
StratteEG, TopeWD, JohnsonCL et al: Multimodal management of diffuse neonatal hemangiomatosis. J Am Acad Dermatol1996, 34:337–342.
12.
DonnellyLF, AdamsDM and BissetGS.Vascular Malformations and Hemangiomas. A Practical Approach in a Multidisciplinary Clinic. AJR2000;174:597–608
EnjolrasO, RicheMD, MerlandJJ, et al: Management of alarming hemangiomas in infancy: a review of 25 cases. Pediatrics1990, 85:491–498.
15.
WilliamsEF3rd, StanislawP, DupreeM, .: Hemangiomas in infants and children, an algorithm for intervention. Arch Facial Plast Surg2000, 2: 103–111.
16.
BennettML, FleischerABJr, ChamlinSL, et al: Oral corticosteroid use is effective for cutaneous hemangiomas: an evidence-based evaluation. Arch Dermatol2001, 137:1208–1213.
17.
BarlowCF, PriebeCJ, MullikenJB, et al: Spastic diplegia as a complication of interferon alfa-2a treatment of hemangiomas of infancy. J Pediatr1998, 132:527–530
18.
HohenleutnerS, Badur-GanterE, LandthalerM, et al: Long-term results in the treatment of childhood hemangioma with the flashlamp-pumped pulsed dye laser: an evaluation of 617 cases. Lasers Surg Med2001, 28:273–277.
19.
DinehartSM, KincannonJ, GeronemusR: Hemangiomas: evaluation and treatment. Dermatol Surg2001, 27:475–485.
20.
GuptaG, BilslandD: A prospective study of the impact of laser treatment on vascular lesions. Br J Dermatol2000, 143:356–369
21.
FishmanSJ, MullikenJB.Vascular anomalies—a primer for pediatricians. Ped Clin N Amer.1998;45:1455–1477.
22.
MathesEFD, HaggstromAN, DowdC, . Clinical Characteristics and Management of Vascular Anomalies: Findings of a Multidisciplinary Vascular Anomalies Clinic. Arch Dermatol2004; 140:979–983.
23.
RussellJ.Bramhall and Awf Quaba A review of 58 patients with periorbital haemangiomas to determine appropriate cases for intervention. Journal of Plastic, Reconstructive & Aesthetic Surgery2008;61:138–149
24.
EnjolrasO, MullikenJB.The current management of vascular birthmarks. Pediatr Dermatol.1993;10:311–333.
