Hemangioma Diagnosis & Treatment
How hemangioma is identified?
Your appointment will begin with a detailed physical exam and a complete medical history. In most circumstances, your child's hemangioma can be diagnosed simply by looking at it and discussing the clinical history with the parent or caregiver.
If the doctor believes that more information is required to confirm your child's diagnosis, he or she may suggest an ultrasound. An ultrasound is a type of imaging examination that employs sound wave technology to determine the size of the hemangioma and how much blood is moving through it.
In rare circumstances, the doctor may want further information to establish the diagnosis of more complicated hemangiomas. In this scenario, the doctor may order:
- MRI: A high-resolution scan that demonstrates the size of your child's hemangioma as well as its link to neighboring muscles, nerves, bones, and blood vessels.
- Biopsy: A surgical operation that removes a tiny sample of tissue for further examination of its cells under a microscope.
What are the therapeutic options for pediatric hemangiomas?
- Because of its position, it obstructs vital activities such as breathing and seeing.
- gets infected or begins to bleed
- distorts the appearance of a child's face or other body features
- is linked to various disorders that could be detrimental to the infant
Medication control is usually the first step in treatment because it can reduce or even stop the growth of a hemangioma. When surgery or laser therapy is medically required, your child's doctor may recommend it.
Hemangioma treatment with propranolol
Propranolol is the first-line therapy for pediatric hemangioma, which implies that medical authorities agree it is the most effective first step in treatment.
Propranolol is an oral beta-blocker that is often used to treat cardiac disorders such as excessive blood pressure. Propranolol suppresses and constricts the growth of blood vessels linked with hemangiomas in infants and children, as well as the causes that cause it to proliferate.
Hemangioma medication management
Other pharmacological therapy, in addition to or instead of propranolol, may be recommended by your child's doctor. These include:
Selective beta-blocker therapy: These medications, which are actively being researched, may have fewer negative effects.
Topical beta-blocker: If the hemangioma is tiny, this method is used.
Therapy in combination: Children with more complicated lesions may benefit from a combination of propranolol and corticosteroid or timolol.
Hemangioma surgery
With the introduction of improved drugs to decrease hemangiomas, surgery is becoming less prevalent. Your child's doctor may advise surgery if:
- The hemangioma interferes with a crucial structure, necessitating surgery to remove the hemangioma.
- The child suffers from an ulcerated hemangioma.
- The hemangioma has involuted, but there remain lasting symptoms, such as skin alterations, that must be rectified.
Hemangioma laser therapy
Laser therapy can:
- If telangiectasias are present, improving the appearance of skin after a hemangioma has shrunk
- Reduce pain in ulcerated lesions patients
At-home treatment for hemangioma in children
While most hemangiomas do not necessitate professional treatment, there are certain things you may do at home to aid healing.
Hemangiomas in some regions can be prone to ulceration and bleeding because the skin stretches during the growth phase.
- Use a fragrance-free ointment, such as Aquaphor, to keep the skin around the lesion moist.
- Wash a bleeding lesion gently with soap and water on a daily basis.
- To limit the risk of infection, apply a topical antibiotic and treat the wound multiple times per day.
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