Association of demographic factors and infantile hemangioma characteristics with risk of PHACE syndrome
JAMA Aug 23, 2021
Cotton CH, Ahluwalia J, Balkin DM, et al. - Multiple anatomical sites and a large surface area were correlated with a higher risk, whereas S2 or parotid infantile hemangiomas (IHs) were related to a lower, but still potential, risk. Such findings may be useful in counselling families and making decisions about the evaluation of infants with large head and neck IHs.
In total, 238 patients (mean [SD] age, 2.96 [4.71] months; 184 [77.3%] female) were involved in the analysis; 106 (44.5%) met the criteria for definite (n = 98) or possible (n = 8) PHACE syndrome.
A stepwise linear regression model discovered that having a surface area of 25 cm 2 or more and being involved in three or more locations were statistically significant risk factors for PHACE syndrome.
A lower risk was associated with the involvement of the parotid gland and segment S2.
Race and ethnicity may also be linked to PHACE syndrome risk, though more research is needed.
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