Janmohamed et al reported the Hemangioma Activity Scale (HAS) for evaluating an infant with hemangioma. The authors are from multiple institutions in Belgium and The Netherlands.
Patient selection: infantile hemangioma
Parameters:
(1) deep swelling, if present at baseline
(2) color
(3) ulceration
At baseline
Parameter
Finding
Points
deep swelling
none
0
tense
6
neutral
4
color
bright red or shining red
5
bright red edge
4
matt red or reddish purple
3
matt red edge
3
blue or blue shining through
2
grey
1
skin-colored after activity
0
At follow-up
Parameter
Finding
Points
deep swelling
none at baseline
0
tense
6
less than 50% reduction
4
>= 50% reduction
2
no more swelling
0
color
bright red or shining red
5
bright red edge
4
matt red or reddish purple
3
matt red edge
3
blue or blue shining through
2
grey
1
skin-colored after activity
0
HAS score =
= ((points for deep swelling) + (points for color))/ (number of items scored)
Ulceration
Points
none
0
< 1 square cm
0.5
1 to 25 square cm
1
> 25 square cm
2
final score =
= (HAS score) + (points for ulcer)
Interpretation:
• minimum HAS score: 0
• maximum HAS score: 5.5
• maximum final score: 7.5
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