Routine liver ultrasound screening does not alter clinical management in a cohort study of multiple cutaneous infantile haemangioma.

Cutaneous infantile haemangioma (IH) occurs in 5-10% of neonates, with multiple IH (>1) in 30% of those1 . Expert opinion currently recommends routine liver ultrasound(USS) for five or more(5+ ) IH2,3 , and if hepatic haemangiomas(HH) are identified, to test thyroid function3 even if neonatal thyroid screening occurred. Supportive data from one cohort demonstrate associations between 5+ IH and HH1 , and between HH and adverse clinical outcomes (cardiac failure/hypothyroidism)4-6 .