Benign Neonatal Hemangiomatosis. (29th October 2022)

• Record Type: Journal Article
• Authors: Miller, Austinn C.; Gordon, Elliott S.; Peterson, Christy R.; Cohen, David J.; Bowe, Andrew C.
• Editors: Bell, Tracey
• Is Part Of: Advances in neonatal care. Volume 22:Number 5(2022)
• Page Start: 408
• Page End: 412
• Publication Date: 2022-10-29
• Subjects: benign neonatal hemangiomatosis -- infantile -- multiple hemangiomas; Newborn infants -- Medical care -- Periodicals; Newborn infants -- Diseases -- Nursing -- Periodicals; Premature infants -- Hospital care -- Periodicals; 618.9201
• DOI: 10.1097/ANC.0000000000000982
• Languages: English
• ISSNs: 1536-0903

Abstract

Abstract : Background: Benign neonatal hemangiomatosis (BNH) is a rare, self-limiting subtype of infantile hemangiomas (IHs), in which infants with multiple cutaneous hemangiomas lack visceral involvement. Other subtypes of IHs exist that may mimic BNH and can be life-threatening depending on hemangioma location and size. Clinical Findings: At birth, a 29 5 /7 -week preterm female presented with several pinhead-sized pink papules distributed throughout her body. At 10 days of age, the patient had 12 enlarged domed-shaped red papules in a generalized distribution throughout her body. Over several weeks, the number and size of the domed-shaped red papules continued to increase to a total of 26 located on the head, chest, abdomen, back, legs and arms. They were of firm consistency with both smooth and lobulated surfaces. Primary Diagnosis: A diagnosis of BNH was made after extensive workup did not reveal any extracutaneous hemangiomas. Interventions: Due to the lack of extracutaneous involvement and low-risk location/size of hemangiomas in our patient, no interventions were pursued and an observation-only approach was implemented. Outcomes: The patient remained stable while followed up over 8 months, with the size of the hemangiomas only increasing slightly in proportion to the patient's natural body growth. Practice Recommendations: Given the life-threatening nature of certain hemangioma subtypes, it is important to implement a proper workup and subtype diagnosis as early as possible in any infant with multiple hemangiomas.