Background
Infantile hemangiomas (IH) are the most common soft-tissue tumors of infancy, but little is known regarding their true incidence.
Objectives
To determine the current incidence of IH and examine trends in incidence, demographics, and lesion characteristics over three decades.
Methods
The Rochester Epidemiology Project was used to identify infants residing in Olmsted County, Minnesota, who were diagnosed with IH between January 1, 1976 and December 31, 2010.
Results
Nine hundred and ninety-nine infants were diagnosed with IH. Incidence increased over the 3- decade study period from 0.97 per 100 person-years to 1.97 per 100 person years (p<0.001). Average gestational age at birth and birth weight for infants with IH decreased over the study period (39.2 to 38.3 weeks, p<0.001 and 3383 to 3185 grams, p=0.003, respectively). The overall age- and sex-adjusted incidence of IH was 1.64 per 100 person-years (95% CI 1.54–1.75).
Limitations
The population of Olmsted County is predominantly non-Hispanic white, limiting our ability to report racial differences in incidence. This was a retrospective study.
Conclusions
This study provides a longitudinal, population-based incidence of IH. Incidence has increased steadily over the past three decades, correlating significantly with decreasing gestational age at birth and birth weight in affected infants.
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Pediatric PG has a more varied anatomic distribution and a greater predominance of pustular lesions than PG in adults and a strong association with inflammatory bowel disease.
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