Children Treated for Slow-flow Vascular Malformations: Overall Description and Focus on Complications Such as Cellulitis.

IF 3.7 4区 医学 Q1 DERMATOLOGY
Stephanie Bredy, Emilie Coronas, Caroline Degrugillier-Chopinet, Emeline Cailliau, Benoit Catteau, François Dubos
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Abstract

Some patients with slow-flow vascular malformations (SFVMs) develop recurring cellulitis. The main objective of this study was to describe SFVMs in children. Other objectives were to determine the frequency of cellulitis episodes, and the factors associated with the occurrence of cellulitis. This retrospective, longitudinal, single-centre study included all children with SFVMs being managed at Lille University Hospital between 1994 and 2020. Data were collected using a standardized questionnaire. After a descriptive analysis, the variables associated with the onset of cellulitis were analysed; 133 patients (median age at diagnosis: 72 months; 53% girls) were included. SFVMs were: venous (81%), lymphatic-venous (10%), capillary-venous (5%), and lymphatic (4%). Nine children had presented at least 1 episode of cellulitis (7%, 95% CI: 4-12) and 29 episodes were reported (median: 3, interquartile range: 2-4; median age at the first episode: 3.5 years). Cellulitis occurred more frequently in young children, with lymphatic and syndromic forms of SFVM, large SFVMs, affecting skin folds, and without long-term SFVM treatment. In conclusion, the occurrence of cellulitis in patients with a SFVM is rare. However, after the first episode, it frequently becomes recurrent, particularly in some patients with identified risk factors, who may require antibiotic prophylaxis.

Abstract Image

儿童治疗的慢流血管畸形:总体描述和重点并发症,如蜂窝织炎。
一些慢流血管畸形(sfvm)患者会复发蜂窝织炎。本研究的主要目的是描述儿童sfvm。其他目的是确定蜂窝织炎发作的频率,以及蜂窝织炎发生的相关因素。这项回顾性、纵向、单中心研究纳入了1994年至2020年间在里尔大学医院治疗的所有sfvm儿童。使用标准化问卷收集数据。描述性分析后,分析与蜂窝织炎发病相关的变量;纳入133例患者(诊断时中位年龄:72个月;53%为女孩)。sfvm分别为:静脉(81%)、淋巴-静脉(10%)、毛细血管-静脉(5%)和淋巴(4%)。9名儿童至少出现过一次蜂窝织炎发作(7%,95% CI: 4-12),报告了29次发作(中位数:3次,四分位数范围:2-4次;首次发作的中位年龄:3.5岁)。蜂窝织炎更常见于幼儿,有淋巴和综合征形式的SFVM,大的SFVM,影响皮肤褶皱,没有长期的SFVM治疗。总之,SFVM患者蜂窝织炎的发生是罕见的。然而,在首次发作后,它经常复发,特别是在一些确定有危险因素的患者中,可能需要抗生素预防。
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来源期刊
Acta dermato-venereologica
Acta dermato-venereologica 医学-皮肤病学
CiteScore
4.90
自引率
2.80%
发文量
210
审稿时长
6-12 weeks
期刊介绍: Acta Dermato-Venereologica publishes high-quality manuscripts in English in the field of Dermatology and Venereology, dealing with new observations on basic dermatological and venereological research, as well as clinical investigations. Each volume also features a number of Review articles in special areas, as well as short Letters to the Editor to stimulate debate and to disseminate important clinical observations. Acta Dermato-Venereologica has rapid publication times and is amply illustrated with a large number of colour photographs.
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