Dermatology Book

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HemangiomaAka: Capillary Hemangioma, Strawberry Hemangioma

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  1. See Also
    1. Newborn Skin Exam
  2. Epidemiology
    1. Prevalence: 1.1 - 2.6% of all newborns (10% of infants at one year)
    2. More common in premature infants
  3. Signs
    1. Often lesion not present at birth or barely noticeable pale patch of skin
    2. Erythematous or violaceous lobulated lesions
  4. Differential Diagnosis
    1. Thrombocytopenia
    2. Cardiac failure
    3. Cutaneous Signs of Spinal Dysraphism (e.g. sacral hemangioma)
  5. Associated Conditions
    1. Kasabach-Merritt Syndrome
    2. Tethered cord with lumbosacral lesions
      1. See Cutaneous Signs of Spinal Dysraphism
  6. Course
    1. Develops in first four weeks after birth
    2. Proliferates until 9 to 12 months of age
    3. Spontaneous Resolution
      1. Age 5 years: 50% resolution
      2. Age 7 years: 70% resolution
      3. Age 9 years: 90% resolution
    4. Residual atrophy, Hypopigmentation, telangiectases, or scarring may occur
  7. Management: Interventions by Pediatric Dermatology
    1. Compression garment or Coban Tape
      1. Hemangiomas on arms or legs
    2. Biosynthetic dresing every 24 hours
    3. Prednisone
      1. Indicated where hemangioma compresses eye, airway or other vital conditions
      2. Dose: 3 mg/kg daily for 6-12 weeks
      3. Continue until lesion stops growing or size decreases
    4. Interferon alfa (if refractory to Steroids)
    5. Pulsed-dye laser therapy
  8. Management: Indications for referral or further evaluation
    1. Multiple hemangiomas
      1. Consider ultrasound of the abdomen to evaluate for gastrointestinal and liver lesions
    2. Deep hemangiomas
    3. Large hemangiomas
      1. Risk of high-output Heart Failure
    4. Sacral hemangiomas
      1. See Cutaneous Signs of Spinal Dysraphism
  9. References
    1. McLaughlin (2008) Am Fam Physician 77:56

Hemangioma (C0018916)

Definition (MSH)A vascular anomaly due to proliferation of BLOOD VESSELS that forms a tumor-like mass. The common types involve CAPILLARIES and VEINS. It can occur anywhere in the body but is most frequently noticed in the SKIN and SUBCUTANEOUS TISSUE. (from Stedman, 27th ed, 2000)
Definition (CSP)extremely common benign tumor, occurring most commonly in infancy and childhood, made up of newly formed blood vessels, and resulting from malformation of angioblastic tissue of fetal life; can occur anywhere in the body but is most frequently noticed in the skin and subcutaneous tissues.
Definition (NCI)A benign localized vascular neoplasm usually occurring in infancy and childhood. It is characterized by the formation of capillary-sized or cavernous vascular channels. The majority of cases are congenital.
ConceptsNeoplastic Process (T191)
ICD9228.0, 228.00
Englishangioma, Benign Angioma, Benign haemangioma, Benign hemangioma, Haemangioma, Haemangioma of unspecified site, Hemangioma, Hemangioma of unspecified site, Hemangiomas
Spanishangioma, angioma benigno, hemangioma, hemangioma benigno, hemangioma de localización no especificada, hemangioma de localizacion no especificada
CreditsDerived from the NIH UMLS (Unified Medical Language System)


Strawberry nevus of skin (C0206733)

Definition (MSH)A dull red, firm, dome-shaped hemangioma, sharply demarcated from surrounding skin, usually located on the head and neck, which grows rapidly and generally undergoes regression and involution without scarring. It is caused by proliferation of immature capillary vessels in active stroma, and is usually present at birth or occurs within the first two or three months of life. (Dorland, 27th ed)
Definition (NCI)A capillary hemangioma that may regress spontaneously. It occurs in infants and children.
ConceptsNeoplastic Process (T191)
ICD9757.32
EnglishAngiomatous naevus, Angiomatous naevus of skin, Angiomatous nevus, Angiomatous nevus of skin, Capillary haemangioma, Capillary haemangioma of skin, Capillary Hemangioma, Capillary hemangioma of skin, Capillary Hemangiomas, Capillary naevus, Capillary naevus of skin, Capillary nevus, Capillary nevus of skin, Congenital vascular hamartoma, Congenital vascular naevus, Congenital vascular nevus, Haemangioma simplex, Hemangioma simplex, Infantile haemangioma, Infantile Hemangioendothelioma, Infantile hemangioma, Juvenile Capillary Hemangioma, Juvenile haemangioma, Juvenile hemangioma, Plexiform haemangioma, Plexiform hemangioma, Raspberry mark of skin, Strawberry angioma, Strawberry birthmark, Strawberry haemangioma of skin, Strawberry hemangioma of skin, Strawberry mark, Strawberry mark of skin, Strawberry naevus, Strawberry naevus of skin, Strawberry nevus, Strawberry nevus of skin
Spanishhemangioma capilar, hemangioma en fresa de la piel, hemangioma infantil, hemangioma juvenil, hemangioma plexiforme, hemangioma simple, marca en fresa de la piel, nevo angiomatoso, nevo angiomatoso cutáneo, nevo angiomatoso cutaneo, nevo capilar, nevo en fresa de la piel, nevo frutilla, nevo vascular congénito, nevo vascular congenito, nevus vascular congénito, nevus vascular congenito
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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