title: Reticular infantile hemangiomas with minimal or arrested growth associated with lipoatrophy.
abstract: BACKGROUND
  Reticular infantile hemangioma (RIH) with minimal or arrested growth (MAG) is an underrecognized variant of infantile hemangioma (IH).
  
  
  OBJECTIVE
  We describe a new clinical subtype of RIH-MAG associated with lipoatrophy.
  
  
  METHODS
  The medical charts and serial clinical photographs and imaging studies of 53 children given a diagnosis between 2004 and 2013 labeled as "abortive," "minimal or arrested growth," "reticular," or "congenital" hemangiomas were reviewed in the departments of dermatology and infantile plastic surgery of 2 French university hospital centers.
  
  
  RESULTS
  Seven children were identified with RIH-MAG associated with lipoatrophy. There were 3 main patterns: (1) a focal cutaneous depression; (2) semicircular lipoatrophy with a horizontal bandlike depression; and (3) segmental soft-tissue atrophy. One case of segmental RIH-MAG of the back of the foot was associated with genital abnormalities reminiscent of perineal hemangioma, external genitalia malformations, lipomyelomeningocele, vesicorenal abnormalities, imperforate anus, and skin tags (PELVIS) syndrome.
  
  
  CONCLUSIONS
  The limitations were the retrospective study design, the small number of cases, and selection bias based on recall and photography.
  
  
  CONCLUSIONS
  RIH-MAG with lipoatrophy is an uncommon variant of IH that may be confused with other vascular anomalies, particularly capillary malformation, focal and atrophic cutis marmorata congenita telangiectatica, and rapidly involuting congenital hemangioma with lipoatrophy as a sequela.
authors.affiliation: University of Montpellier 1, Department of Dermatology, University Hospital Center of Montpellier, INSERM 1058, Montpellier, France. Electronic address: d-bessis@chu-montpellier.fr.
authors.forename: Didier
authors.initials: D
authors.lastname: Bessis
authors.affiliation: Department of Orthopedic and Plastic Pediatric Surgery, University Hospital Center of Montpellier, Montpellier, France.
authors.forename: Michèle
authors.initials: M
authors.lastname: Bigorre
authors.affiliation: Department of Pediatric Dermatology, University Hospital Center of Bordeaux, Bordeaux, France.
authors.forename: Christine
authors.initials: C
authors.lastname: Labrèze
mesh_terms: D001284:Atrophy; D002675:Child, Preschool; D005260:Female; D006130:Growth Disorders / Q000150:complications*; D018324:Hemangioma, Capillary / Q000150:complications*; D006801:Humans; D008060:Lipodystrophy / Q000150:complications*; D008297:Male; D012189:Retrospective Studies; D012878:Skin Neoplasms; D013577:Syndrome
keywords: abortive hemangioma; arrested growth hemangioma; infantile hemangioma; lipoatrophy; lipodystrophy; minimal hemangioma; reticular hemangioma