Medical Case Details:
Hello Respected Doctors,A 9 month old female baby came to me with red-pink spot on her right cheek. Her mother observed it first time when she was 10 days after birth. She was scared about it. I diagnosed this as a capillary haemangioma and advised her to do nothing and it'll subside itself at the age of school going. But I need expert opinion about this. What should be the diagnosis and the medications?
Thank you.
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Dr. Kumaresan Muthuvel
Dermatologist
The diagnosis is Hemangioma
looks like it is growing in size
this size hemangioma at this cosmetic site should be treated at the earliest
refer the baby to a Dermatologist , they will treat it accordingly( options are lasers and medications)
Dermatologist
The diagnosis is Hemangioma
looks like it is growing in size
this size hemangioma at this cosmetic site should be treated at the earliest
refer the baby to a Dermatologist , they will treat it accordingly( options are lasers and medications)
23.Feb, 07:25pm
Dr. Arvind Guru
General Surgeon
It is a Hemangioma.
These days "to do nothing" is not appropriate in such a big lesion in a prominent cosmetically important location. Early treatment was required in this case. Already too big.
Treatment is Propanolol trial >> Surgery / Laser ablation. Do not start medication if you cannot followup and monitor the baby. Best is Refer to Pediatric Dermatology in AIIMS.
General Surgeon
It is a Hemangioma.
These days "to do nothing" is not appropriate in such a big lesion in a prominent cosmetically important location. Early treatment was required in this case. Already too big.
Treatment is Propanolol trial >> Surgery / Laser ablation. Do not start medication if you cannot followup and monitor the baby. Best is Refer to Pediatric Dermatology in AIIMS.
24.Feb, 12:13am
Dr. Ishwar Chandra Rai
Ayurveda Specialist
Thanks doctors to your valuable suggestions.
Ayurveda Specialist
Thanks doctors to your valuable suggestions.
24.Feb, 08:04pm
Dr. Manish Jain
Cosmetologist
Dr. Ishwar above mention patient is a case of capillary hemangioma.
treatment is only reassurance patient parent about natural history of Disease. it grow till age of 2 year and then subside gradually like 50% at age of 5 year and 70% at age of 7 year. As lesion present on nonvital structure so no active intervention required. you can start propanolol @ 2mg/kg wt of pt in divided dose to fasten remission. After remission surgery may be needed to remove fibrofatty tissue.
best wishes.
Cosmetologist
Dr. Ishwar above mention patient is a case of capillary hemangioma.
treatment is only reassurance patient parent about natural history of Disease. it grow till age of 2 year and then subside gradually like 50% at age of 5 year and 70% at age of 7 year. As lesion present on nonvital structure so no active intervention required. you can start propanolol @ 2mg/kg wt of pt in divided dose to fasten remission. After remission surgery may be needed to remove fibrofatty tissue.
best wishes.
▲ 2
09.Mar, 04:59pm
Dr. Vinod Kala
Homeopathic Physician
Capillary hemangioma easily cured by oral homoeopathic medicines
Homeopathic Physician
Capillary hemangioma easily cured by oral homoeopathic medicines
25.May, 09:00pm
Dr. Pavan N Murdeshwar
Plastic Surgeon
I agree with Dr. Manish Jain. The lesion is on the cheek and as it is not affecting any functions of the child, the vision, hearing, speech, feeding etc, its always better to wait and follow up. This will regress on its own by 5-7 years. Proper counselling of the parents is necessary and are asked to avoid any trauma in this region. Propranalol treatment is also not fully indicated considering the risk/benefit ratio. But after the regression of the lesion, an intervention in the form of laser or surgical excision might be required for any remnants.
Plastic Surgeon
I agree with Dr. Manish Jain. The lesion is on the cheek and as it is not affecting any functions of the child, the vision, hearing, speech, feeding etc, its always better to wait and follow up. This will regress on its own by 5-7 years. Proper counselling of the parents is necessary and are asked to avoid any trauma in this region. Propranalol treatment is also not fully indicated considering the risk/benefit ratio. But after the regression of the lesion, an intervention in the form of laser or surgical excision might be required for any remnants.
▲ 1
11.Dec, 12:54pm
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