HEMANGIOMAS

 

Hemangiomas are common birthmarks composed of an abnormal collection of blood vessels on the skin. Although some hemangiomas are present at birth, many develop within the first month of life.

Superficial hemangiomas appear bright red color and may remain relatively flat or may increase in thickness

 Deep hemangiomaa are large, blood filled cavities under the skin surface. They appear as a bluish, soft, lump or tumor

 Mixed hemangiomas have featires of both superficial and deep hemangiomas

It is normal for hemangiomas to grow for several months after birth; some may grow only a little, while others may grow substantially in size. It can be difficult to predict how much/how fast a hemangioma will grow. Most of the rapid growth occurs in the first 3-5 months of life, although some hemangiomas will continue to grow until 12 months of age or rarely longer.

 Most hemangiomas do not need to be treated as they will gradually disappear (involute) on their own over the first few years of life.

Treatment may be recommended for hemangiomas in cosmetically sensitive areas such as the face that may become disfiguring and those that have resulted in or may result in complications such as ulceration, scarring, or visual obstruction. Treatment options include topical timolol solution, oral propranolol, pulsed dye laser, and surgical excision. Surgical removal may be recommended for a small number of hemangiomas, and will result in permanent scarring.

If the hemangioma has not completely gone away by age 3, we can evaluate your child again to see if any treatment is needed.

 

Please call the office if any of the following occur:

·      Bleeding that does not stop after 15 minutes of pressure (use a clean towel or cloth and hold firm pressure for 15 minutes without stopping)

·      Ulceration (skin breakdown), crusting or pus

·      Change to black and blue color, like a bruise