Cambazard F
Clinique dermatologique, hôpital Edouard-Herriot, Lyon, France.
Pediatrie. 1988;43(5):427-31.
Immature hemangiomas are frequent during infancy. Strawberry or cavernous hemangiomas have a specific evolution with an extensive phase, followed with a spontaneously regressive phase. Complications (cutaneous necrosis, pain and infection) are most often benign. More severe evolutions may occur, such as disseminated intravascular coagulation, which needs specific treatment. Most often, immature hemangiomas regress spontaneously and a clinical follow-up is sufficient. Systemic steroid therapy may be used in the case of important growing, vital or functional impairment (laryngeal or eyelid involvement). The dosage (more than 2 mg/kg/d prednisone) and the length of such treatment must be adequate. Surgery with or without embolization is rarely needed.
婴儿期未成熟血管瘤很常见。草莓状或海绵状血管瘤有特定的演变过程，包括一个广泛生长阶段，随后是自发消退阶段。并发症（皮肤坏死、疼痛和感染）大多为良性。也可能出现更严重的演变情况，如弥散性血管内凝血，这需要特殊治疗。大多数情况下，未成熟血管瘤会自发消退，临床随访就足够了。在血管瘤显著生长、危及生命或影响功能（如累及喉部或眼睑）的情况下，可使用全身类固醇疗法。此类治疗的剂量（泼尼松超过2毫克/千克/天）和疗程必须适当。很少需要进行手术，无论是否联合栓塞治疗。
