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Although most infantile hemangiomas (IHs) are solitary, up to one third are multiple; however, presence of more than five is unusual. Current recommendations are to screen for hepatic hemangiomas (HHs) if five or more cutaneous IHs are present. HHs are usually not identifiable without ultrasound, and most remain asymptomatic, ultimately involuting as do cutaneous hemangiomas. Rarely, HH can be life threatening, due to thyroid hormone consumption or high-output congestive heart failure. Researchers previously categorized three types of HHs, one of which (diffuse) has a high risk for morbidity and mortality (Pediatr Surg Int 2009; 25:493). HH problems arise at or before age 6 months.
To investigate the relationship between HH and cutaneous IH,…