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(Infantile Hemangioma; Superficial Hemangioma; Deep [or Cavernous] Hemangioma; Strawberry Hemangioma; Strawberry Mark)
- Premature birth
- PHACE syndrome
- A hemangioma that is close to the surface of the skin:
- Appears as red strawberry-like or purple bump on the skin
- May continue to grow and spread
- A hemangioma that is deeper under the skin will appear as bluish swelling under the skin
- Ulceration—deep sores in the skin
- Problems with growth and function of structures nearby such as eyes or airway
- Abnormalities of the blood vessels of the eye or brain (associated with some hemangiomas of the face)
- Hemangiomas in other locations can be associated with heart, kidney, gastrointestinal, brain, or spinal abnormalities
- Dressings to help prevent infections in ulcerated areas of the skin and control oozing
- Medication may include:
- Acetaminophen for pain relief
- Steroids, vincristine, or beta blockers to help shrink the hemangioma
- Topical ointments to help with wound healing and pain relief
- Antibiotics may speed healing with or without the presence of a bacterial infection
- Surgery—particularly for hemangiomas that are causing pain, or problems with sight or breathing
- Lasers—most effective on superficial hemangiomas
American Academy of Dermatology http://www.aad.org
Vascular Birthmarks Foundation http://www.birthmark.org
Health Canada http://www.hc-sc.gc.ca
Sturge-Weber Syndrome Community Canada (SWSCC) http://swscommunitycanada.org
Bruckner AL, Frieden IJ. Hemangiomas of infancy. J Am Acad Dermatol. 2003;48:477-493.
Burton BK, Schulz CJ, et al. An increased incidence of haemangiomas in infants born following chorionic villus sampling (CVS). Prenat Diagn. 1995;15:209-214.
Haggstrom AN, Frieden, IJ. Hemangiomas: Past, present, and future. J Am Acad Dermatol. 2004;51: S50-52.
Hemangioma. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated March 13, 2013. Accessed February 10, 2014.
Luu M, Frieden IJ. Haemangioma: clinical course, complications and management. Br J Dermatol. 2013;169(1):20-30.
10/25/2010 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Haggstrom AN, Garzon MC, Baselga E, et al. Risk for PHACE syndrome in infants with large facial hemangiomas. Pediatrics. 2010;126(2):e418-426.
- Reviewer: Michael Woods, MD
- Review Date: 02/2014
- Update Date: 02/10/2014