Garzon Maria C, Weitz Nicole, Powell Julie
Departments of Dermatology and Pediatrics, Columbia University, New York, New York, USA.
Department of Dermatology, Columbia University, New York, New York, USA.
Semin Cutan Med Surg. 2016 Sep;35(3):170-6. doi: 10.12788/j.sder.2016.052.
Vascular anomalies are very common in children and encompass a wide spectrum of diseases. Many vascular anomalies can be mistaken for infantile hemangioma (IH). In addition, there is a variety of rare disorders including benign and malignant tumors that may mimic IH and other types of vascular anomalies. Understanding the clinical features, natural history, and typical clinical course of different types of vascular anomalies is essential in order to make the correct diagnosis and guide management. Radiologic imaging plays an important role in establishing the diagnosis; and when the diagnosis remains in doubt, a biopsy performed by a surgical specialist with expertise may prove to be lifesaving.
血管异常在儿童中非常常见,涵盖了广泛的疾病谱。许多血管异常可能被误诊为婴儿血管瘤(IH)。此外,还有各种罕见疾病,包括良性和恶性肿瘤,可能会模仿IH和其他类型的血管异常。了解不同类型血管异常的临床特征、自然史和典型临床过程对于做出正确诊断和指导治疗至关重要。放射影像学在确立诊断中起着重要作用;当诊断仍存疑问时,由具有专业知识的外科专家进行活检可能会挽救生命。