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Strawberry Hemangioma - Symptoms and Treatment

A haemangioma describes a benign overgrowth of blood vessels in the skin, and is also simply called ‘angioma'. Hemangiomas may be present anywhere on the body. An hemangioma, commonly called a strawberry or strawberry hemangioma by parents, is a type of vascular birthmark that typically appear in the first few weeks after a baby is born, can grow rapidly during an infant's first year of life, and then typically go away by the time the child is 5 to 8 years old. Infantile hemangiomas are benign vascular neoplasms that have a characteristic clinical course marked by early proliferation and followed by spontaneous involution. Hemangiomas occur in approximately ten percent of Caucasians, and are less prevalent in other races. Hemangiomas can be vivid superficial lesions, or they can appear as a bluish swelling if they are under the skin. They are benign endothelial cell neoplasms that are typically absent at birth and characteristically have rapid growth in infancy with spontaneous involution later in life. Tumor regression is complete in 50% of children by age 5 and in 70% of children by age 7. Infantile hemangiomas has a fairly predictable pattern of growth. By the time a child reaches 10 to 12 years of age, involution of the tumor is always complete. Hemangiomas are usually present at birth, although they may appear within a few months after birth, often beginning at a site that has appeared slightly dusky or colored differently than the surrounding tissue.

A hemangioma once known specifically as a strawberry hemangioma is bright red and protrudes from the skin. hemangioma is a type of birthmark, usually on the head or neck, which appears shortly after birth, grows rapidly, and slowly disappears, usually before puberty. Blood vessel proliferations are the most common benign tumors in infants and children. The classically recognized hemangioma is a visible red skin lesion that may be superficial , deeper in the skin, or a mixture of both. Over 80% occur on the head and neck area. About 10% of infants have them, and they are usually present at birth or within the first 2 or 3 months of life. Parents' reactions to these colorful birthmarks vary almost as much as the hemangiomas themselves. Strawberry hemangiomas are a type of birthmark. Mostly the color of strawberry is red. An hemangioma by the eye might block the child's vision, or one by a child's nose or mouth might interfere with breathing or eating, and might need to be treated with steroids and/or lasers. Approximately eighty percent are located on the face and neck, with the next most prevalent location being around the liver area. Although hemangiomas are benign , some serious complications can occur. Occasionally, hemangiomas may impinge on vital structures, ulcerate, bleed, or cause high-output cardiac failure or significant structural abnormalities. A hemangioma, one of the most common types of birthmarks, develops when blood vessels group together in one place in the skin.

Causes of Strawberry Hemangioma

Common Causes of Strawberry Hemangioma :

  • Grow.
  • Disappear.
  • Blood vessels.
  • Although some research suggests a link.
  • Hemangiomas are two to three times more common among females than males.
  • Family history of these vascular birthmarks.

Symptoms of Strawberry Hemangioma

Some common Symptoms of Strawberry Hemangioma :

  • Paralysis.
  • Skin rash or lesion that is red.
  • Seizures.
  • Headaches.
  • A red to reddish-purple, raised lesion on the skin.
  • Bleeding.
  • A massive, raised tumor with blood vessels.

Treatment of Strawberry Hemangioma

Some common Treatment of Strawberry Hemangioma :

  • Consultations with a pediatrician may be necessary to monitor for the systemic adverse effects if prednisone is used or if there is suspicion of systemic involvement.
  • In children it is usually self limiting. So a watchful waiting is needed. Hence no special treatment is needed. The capillary hemangioma tends to resolve as the child grow up.
  • Laser surgery has been attempted to ameliorate capillary hemangiomas but still is controversial. The hemostatic effects of the carbon dioxide laser have been used with success to surgically remove these lesions.
  • Topical steroid formulations, such as clobetasol propionate cream, can be applied topically to the lesion. The response to these treatments, even with the strongest corticosteroid formulations, is slower than other methods because several weeks are required to obtain a response.
  • Systemic corticosteroids are used for amblyogenic life-threatening lesions. Complications of systemic therapy with corticosteroids include Cushingoid changes, personality changes, gastrointestinal irritation, oral candidiasis, delayed growth, diabetes, hypertension, and rebound growth of hemangiomas on cessation.








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