Frequency of the prominent transverse nasal root vein in children.
discoloration of the nasal root
transverse nasal root vein
vascular anomaly
Journal
Pediatric dermatology
ISSN: 1525-1470
Titre abrégé: Pediatr Dermatol
Pays: United States
ID NLM: 8406799
Informations de publication
Date de publication:
08 Feb 2024
08 Feb 2024
Historique:
received:
20
12
2023
accepted:
27
01
2024
medline:
9
2
2024
pubmed:
9
2
2024
entrez:
9
2
2024
Statut:
aheadofprint
Résumé
The presence of a vascular, blue linear discoloration on the nasal root of infants and young children is a frequent incidental feature, rarely reported in the medical literature. It is related to the trajectory of the transverse nasal root vein (TNRV). To study the frequency and clinical characteristics of the vascular discoloration of the nasal root in children. A prospective study was performed to address the presence or absence of vascular discoloration of the nasal root in all children under 6 years of age attending a pediatric dermatology clinic from November 2022 to November 2023. Data on age and skin phototype (Fitzpatrick classification I-VI) were also collected. Of 701 patients examined, 345 (49.2%) presented with a vascular discoloration of the nasal root. This was present in 97 of 193 (50.3%), 127 of 261 (48.7%), and 121 of 247 (49.0%) patients for the age groups 0-1, 1-3, and 3-6 years, respectively. The presence of vascular discoloration of the nasal root was more frequent in patients with lighter Fitzpatrick skin phototypes: 49 of 69 (71.0%) phototype II, 157 of 290 (54.1%) phototype III, and 137 of 337 (40.7%) phototype IV. A vascular discoloration of the nasal root is a frequent skin feature in infants and children, persisting at least until the age of 6. It does not constitute any medical problem aside from cosmetic concern and parents can be reassured of its benign nature. We propose the medical term "prominent TNRV" to describe this condition.
Sections du résumé
BACKGROUND
BACKGROUND
The presence of a vascular, blue linear discoloration on the nasal root of infants and young children is a frequent incidental feature, rarely reported in the medical literature. It is related to the trajectory of the transverse nasal root vein (TNRV).
OBJECTIVE
OBJECTIVE
To study the frequency and clinical characteristics of the vascular discoloration of the nasal root in children.
METHODS
METHODS
A prospective study was performed to address the presence or absence of vascular discoloration of the nasal root in all children under 6 years of age attending a pediatric dermatology clinic from November 2022 to November 2023. Data on age and skin phototype (Fitzpatrick classification I-VI) were also collected.
RESULTS
RESULTS
Of 701 patients examined, 345 (49.2%) presented with a vascular discoloration of the nasal root. This was present in 97 of 193 (50.3%), 127 of 261 (48.7%), and 121 of 247 (49.0%) patients for the age groups 0-1, 1-3, and 3-6 years, respectively. The presence of vascular discoloration of the nasal root was more frequent in patients with lighter Fitzpatrick skin phototypes: 49 of 69 (71.0%) phototype II, 157 of 290 (54.1%) phototype III, and 137 of 337 (40.7%) phototype IV.
CONCLUSIONS
CONCLUSIONS
A vascular discoloration of the nasal root is a frequent skin feature in infants and children, persisting at least until the age of 6. It does not constitute any medical problem aside from cosmetic concern and parents can be reassured of its benign nature. We propose the medical term "prominent TNRV" to describe this condition.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 Wiley Periodicals LLC.
Références
Eichenfield LE, Frieden IJ. Neonatal and Infant Dermatology. 3rd ed. Elsevier; 2015.
Torrelo A. Schachner and Hansen's Pediatric Dermatology. 5th ed. Jaypee Brothers; 2022.
Spicer S. On distension of the nasal arch (transverse nasal vein) in children; its pathology and treatment. Br Med J. 1887;2(1391):459-471.
Accessed January 23, 2024. https://www.whattoexpect.com/first-year/newborns/baby-sugar-bug-blue-vein-between-eyes/.
Accessed January 23, 2024. https://www.reuters.com/article/uk-factcheck-birthmarks-not-mthfr-gene-v-idUSKBN25U2UL.
Accessed January 23, 2024. https://www.checkupnewsroom.com/is-that-blue-vein-across-your-childs-nose-a-sugar-bug/.
Shimizu Y, Imanishi N, Nakajima T, Nakajima H, Aiso S, Kishi K. Venous architecture of the glabellar to the forehead region. Clin Anat. 2013;26(2):183-195.
Vuong KT, Varman KM, Stavas J, Morrell DS. Nasal root venous malformation. Clin Pediatr (Phila). 2015;54(7):700-702.