Cutaneous hemangiomas in premature and mature infants.

Summary The most suitable classification of hemangiomas is that in hemangioma capillare (naevi flammei and naevi vinosi) and hemangioma cavernosum (superficial and deep types), according to Andren. Of great interest to the pediatrician are the superficial cavernous hemangiomas. They are said to be more common in prematures than in mature infants, and more frequent in children with retrolental fibroplasia. The primary series consists of 293 prematures with a birth weight less than 2,000 g, 347 prematures with a birth weight between 2,010–2,500 g and 186 mature infants. They have all been followed up from the date of birth and in some cases until the age of six months or longer. The results may be summarized as follows: 1. Capillary hemangiomas appeared in 20–25 per cent. Deep cavernous hemangiomas were most infrequent—only one was found. They were all present at birth; their growth was proportional to that of the skin or they dissappeared spontaneously. 2. The superficial cavernous hemangiomas appeared in 12–13 per cent of the infants, with no significant difference between premature and mature infants. 3. Wide distribution in the skin of the body was noted with a slight predominance on the face and the trunk. 4. Superficial cavernous hemangiomas were rarely present at birth, usually appearing during the second to the fourth week of life and enlarging during the following few months. They resembled strawberry naevi. 5. The superficial cavernous hemangiomas usually showed a tendency to diminish in size after the sixth month, and frequently disappeared in the second or third year. For this reason routine radium treatment is not indicated. 6. In a small group of prematures with retrolental fibroplasia the same frequency of superficial cavernous angiomas was obtained as in healthy prematures. Les hemangiomes chez le nourrisson premature et nea terme. L'auteur a suivi a partir de leur naissance et dans certains cas jusqu'a l'âge de six mois et plus longtemps, 293 prematures ayant un poids de naissance inferieur a 2000 g, 347 prematures pesant a la naissance entre 2010 g et 2500 g et 186 nourrissons nes a terme. Des hemangiomes capillais ont ete trouves chez 20–25 % des cas. Ils existaient tous a la naissance et leur croissance etait proportionelle a celle de la peau. Des hemangiomes caverneux superficiels ont ete remarques chez 12 a 13 %, dans une proportion egale chez les nourrissons nes prematurement et ceux nes a terme. Ils n'existaient que rarement a la naissance mais apparaissaient de la 2ea la 4e semaine et grandissaient rapidement pendant les quelques mois suivants. Les angiomes caverneux superficiels ont une tendance a diminuer de dimension apres le sixieme mois. Hamangiome bei pramaturen und reijen Sauglingen. 293 Pramature mit einem Geburtsgewicht von weniger als 2000 g, 347 Pramature mit einem Geburtsgewicht zwischen 2010 und 2500 g und 186 reife Sauglinge wurden vom Tage der Geburt aus verfolgt, in einigen Fallen bis zu einem Alter von 6 Monaten und daruber. Kapillare Hamangiome wurden in 20–25 % gefunden, sie waren aile wahrend der Geburt vorhanden und ihr Wachstum war proportionell zu dem der Haut. Oberflachliche kavernose Hamangiome erschienen in 12–13 %, gleich oft auftretend bei Pramaturen und reifen Kindern. Sie waren selten wahrend der Geburt vorhanden, doch traten sie wahrend der 2. bis 4. Woche auf und wuchsen schnell wahrend der folgenden Monate. Die oberflachlichen kavernosen Hamangiome zeigen eine Tendenz, nach dem 6. Monat ihre Grosse zu verringern. Hemangiomas en prematuros y ninos a termino. Han sido estudiados 293 prematuros con peso de nacimiento menor de 2000 g, 347 que pesaros entre 2100–2500 g y 186 ninos a termino desde el primer dia de vida hasta los 6 meses de edad o mas. Se encontraron desde el nacimiento 20–25 % de hemangiomas capilares cuyo desarrollo fue proporcional al de la piel. Hemangiomas cavernosos superficiales se encontraron en 12–13 % con una incidencia igual en prematuros y nacidos a termino. Esta variedad se presento raremente al nacer, siendo frecuente su aparicion entre la segunda y cuarta semana con rapido crecimiento durante los meses inmediatos para luego disminuir de tamano a partir de sexto mes.