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Introduction. Infantile hemangiomas (IHs) are the most common vascular tumors of infancy whose frequency increases with decreasing gestational age. Although rare, periorbital IHs (PIHs) have a high complication rate, with a substantial risk of impaired vision and aesthetic consequences. Because they are considered high-risk IH, such patients must be treated. In the available literature, there is little information about the treatment o f I Hs in very and extremely preterm newborns and infants. Case report. We present three male infants (one very and two extremely prematurely born) with PIHs involving the upper eyelid. In all three cases, IHs were solitary but with different subtypes according to soft-tissue depth (superficial, combined, deep). No additional congenital anomalies were found in any of these cases. An individualized approach to the management of each patient was applied. All infants were treated with oral administration of propranolol, with careful monitoring for potential side effects of the drug and adjustment of treatment, following their eventual occurrence. The introduction of oral propranolol was carried out in a hospital setting, with a gradual increase of the drug dose until the target dose was reached. Conclusion. In the case of PIH, an ophthalmologist is an inevitable part of the medical team. Very and extremely preterm infants are already under the supervision of an ophthalmologist due to mandatory screening for retinopathy of prematurity; how-ever, if they also have PIHs, monitoring must be particularly detailed and long-lasting.

This study investigated the stroke and slope characteristics in left-handed and right-handed handwriting. Stroke (letters t, f, đ, and H) and slope (letters t, f, l, d, and g) directions were analyzed on in-house samples (n = 64), revealing statistically significant differences (p ≤ 0.05) between the groups. Right-handers predominantly exhibited left-to-right strokes (98%-100%), while left-handers showed greater variability. Although statistically significant for most letters analyzed, slope direction did not demonstrate consistent patterns. A logistic regression model was developed and validated on the same sample to classify handedness based on the averaged strokes of the letter "t." The model was further tested on samples (n = 252) from a publicly available handwriting database. If the model classified the sample as produced by left hand, it was correct in 100% of cases. In contrast, when the model classified writing as right-handed, it was correct in 73%-97% of cases, depending on the validation sample. The model classified writing as of left-handed origin if more than 36% of the letters "t" had a stroke from right to left, while otherwise, writing was classified as of right-handed origin. The developed method showed great potential for classifying the handedness of the author of disputed handwriting, thus eliminating individuals as text authors or narrowing down the pool of potential authors., (© 2024 American Academy of Forensic Sciences.)

Background: Multifocal infantile hemangiomas (IHs) are focal cutaneous lesions affecting more than 1 anatomic site. The multifocal distribution pattern is the rarest form of IH manifestation, accounting for only 3-4% of all affected infants. This type of cutaneous IHs may be a marker for extracutaneous disease, with the liver being the most frequently affected organ., Methods: We investigated the clinical and epidemiological characteristics of a small case series of infants with multifocal IHs presenting with different clinical patterns, all diagnosed and treated in a regional tertiary-care pediatric clinic., Results: Four infants with multifocal IHs were included in the analysis. There were 3 girls and 1 boy. Three out of 4 infants were prematurely born (2 of them very preterm), while only 1 was full-term. Clinical patterns in all cases were quite different, but more than 20 cutaneous IHs were present in each of the patients. Two infants had multifocal liver hemangioma, but without complications. In 3 out of 4 patients, systemic propranolol therapy was introduced, with excellent response in two cases (both with liver involvement)., Conclusion: With the increase in the number of cutaneous IHs, the probability of internal organ involvement, most often the liver, also increases. Evaluation for extracutaneous lesions is indicated in infants with 5 or more cutaneous IHs. Treatment of infants with multifocal IHs should be individualized and consider all relevant risk factors, including prematurity.