小结
定义
病史和体格检查
关键诊断因素
- 存在危险因素
- 发生时间多变性
- 粉色、红色或蓝色
- 快速生长
- 多变的压缩性
- 扁平状或结节状
其他诊断因素
- 正常皮岛
- 溃疡和出血
- 温热
- 低出生体重史
- 多变的疼痛
- 相关病变缺陷
- 呈胡须分布和喘鸣
- 腰骶部
- 多处病变
- 婴儿喂养不当，体重不增
- 高输出性心力衰竭
危险因素
- 低出生体重
- 早产儿
- 白种人
- 女性
- 多胎妊娠
- 高龄产妇
- 绒毛取样
诊断性检查
首要检查
- 血管瘤的多普勒超声检查
需考虑的检查
- 血管瘤的 MRI 检查
- 病灶活组织检查
治疗流程
无症状
合并功能障碍或外观缺陷
撰稿人
作者
Kari L. Martin, MD
Associate Professor of Dermatology & Child Health
Pediatric Dermatology
University of Missouri – Columbia
Columbia
MO
利益声明
KLM is an investigator in clinical trials with Scioderm, Lilly, and Durata; payments were received by her institution for these trials. None of these are relevant to this topic.
鸣谢
Dr Kari L. Martin would like to gratefully acknowledge Dr Tobian Muir, Dr Ingrid Polcari, Dr Annette Wagner, and Dr Carla T. Lee, the previous contributors to this topic. TM, IP, and CTL declare that they have no competing interests. AW: none disclosed.
同行评议者
Elena Pope, MD
Head
Department of Dermatology
The Hospital for Sick Children
Toronto
Ontario
Canada
利益声明
EP is an author of a number of references cited in this topic.
Elisabeth Higgins, MD
Consultant Dermatologist
King's College Hospital
London
UK
利益声明
EH declares that she has no competing interests.
Iona Friedan, MD
Professor of Clinical Dermatology and Pediatrics
University of California San Francisco
San Francisco
CA
利益声明
IF is a consultant for Pierre Fabre Dermatology, which is involved in clinical trials of propranolol for haemangiomas. IF is an author of a number of references cited in this topic.
鉴别诊断
- 静脉畸形
- 动静脉畸形
- 淋巴管畸形
更多 鉴别诊断指南
- 婴幼儿血管瘤管理临床实践指南
- 婴幼儿血管瘤：局部外用噻吗洛尔
更多 指南
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