What is the Difference Between Congenital and Infantile Hemangiomas?
🆚 Go to Comparative Table 🆚Congenital and infantile hemangiomas are both benign vascular tumors that occur in infants, but they have distinct differences in their development and growth patterns.
Congenital hemangiomas are:
- Fully formed at birth and can be detected on prenatal ultrasound.
- Do not grow after birth; they either stay the same size, shrink completely, or partially shrink.
- Can be classified into two types: rapidly involuting congenital hemangiomas (RICH) and non-involuting congenital hemangiomas (NICH).
- Usually found in the head and neck area or limbs, but may also occur internally.
Infantile hemangiomas, on the other hand, are:
- Detectable at birth as a subtle "precursor" lesion, with proliferation occurring over early infancy.
- Predominantly involute without significant residua, meaning they do not require treatment in most cases.
- Located most often on the trunk, but can also be found in the head and neck area.
In summary, congenital hemangiomas are fully developed at birth and do not grow afterward, while infantile hemangiomas grow after birth and can be detected at birth as a precursor lesion. The location of these lesions may also differ, with congenital hemangiomas typically found in the head and neck area or limbs, and infantile hemangiomas more commonly located on the trunk.
Comparative Table: Congenital vs Infantile Hemangiomas
The main differences between congenital and infantile hemangiomas are presented in the following table:
Feature | Congenital Hemangiomas | Infantile Hemangiomas |
---|---|---|
Definition | Present at birth | Appear within the first 8 weeks of life |
Growth Phase | No well-defined growth phase | Rapid proliferative phase during early childhood (6-12 months) |
Involution | May not completely involute | 50% of hemangiomas complete involution by age 5, 90% by age 9 |
Location | Predominantly lower body | Predominantly head and neck (42.8%) |
Depth | More common with an exclusively deep component (14% vs. 4%) | More common with an exclusively superficial component |
Medical Intervention | Not always required | Often require medical intervention, such as propranolol |
Congenital hemangiomas are present at birth and may not have a well-defined growth phase, while infantile hemangiomas appear within the first 8 weeks of life and exhibit a rapid proliferative phase during early childhood. Congenital hemangiomas are more likely to be found in the lower body, whereas infantile hemangiomas are more common on the head and neck. In terms of treatment, most cases of congenital hemangiomas do not require active intervention, while infantile hemangiomas often need medical intervention, such as propranolol.
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- Hemangioma vs Vascular Malformation
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- Petechiae vs Cherry Angioma
- Congenital Adrenal Hyperplasia vs Hypoplasia
- Vasculogenesis vs Angiogenesis
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- Hematopoietic Stem Cells vs Progenitor Cells
- Hematopoiesis vs Hemocytoblast
- Mesenchymal vs Hematopoietic Stem Cells
- Hematopoiesis vs Erythropoiesis
- Hemorrhage vs Hematoma
- Subgaleal Hematoma vs Cephalohematoma
- Angiogenesis vs Neovascularization
- Petechiae Purpura vs Ecchymosis
- Genetic vs Congenital Disorders