Infantile hemangiomasIInfantile hemangiomasInfantile hemangiomasEnglishDermatologyNewborn (0-28 days);Baby (1-12 months);Toddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years)SkinSkinConditions and diseasesCaregivers Adult (19+)NA2019-11-07T05:00:00ZElena Pope, MD, MSc, FRCPC;Michelle Lee, RN;Jackie Su, RN; Rebecca Levy, MD, FRCPC; Hoi Ling Wong, MD8.6000000000000059.00000000000001001.00000000000Health (A-Z) - ConditionsHealth A-Z<p>Learn about common growths, called infantile hemangiomas. Also, learn when they are tested and treated by doctors.</p><h2>What is an infantile hemangioma?</h2> <figure><span class="asset-image-title">Hemangiomas</span><img src="https://assets.aboutkidshealth.ca/akhassets/Hemangioma_MEDIMG_PHO_EN.jpg" alt="Raised red spots on a person's back" /> </figure> <p>Infantile hemangiomas are the most common, non-cancerous growths in babies. They are caused by extra growth of cells lining the small blood vessels in the skin. These cells are called endothelial (say: en-doh-THEE-lee-ull) cells. </p><p>Infantile hemangiomas present with red-purple skin changes, which are flat or raised. They are soft to touch and do not cause pain unless the skin above is broken (ulceration). About 60% of hemangiomas occur on the head and neck, but they can occur anywhere on the body. Rarely, they can occur inside the body as well.</p><p>Infantile hemangiomas normally appear in the first two weeks of life. Deeper hemangiomas may not appear until two to three months of age. About 30% to 40% of hemangiomas appear at birth as a barely visible spot, either slightly dusky or coloured differently than the skin around them.<br></p><h2>Key points</h2> <ul> <li>Infantile hemangiomas are common growths in babies. </li> <li>They are not cancerous. </li> <li>Hemangiomas usually get smaller as the child gets older. </li> <li>Doctors will run tests and treat the hemangioma if it affects breathing, vision or other organs. </li> </ul><h2>Who is at risk of having an infantile hemangioma?</h2><p>Infantile hemangiomas are more common in girls, twins, premature babies and babies who are born with a low birth weight.</p><h2>Testing for hemangiomas</h2> <p>Usually, your child's doctor can diagnose an infantile hemangioma by looking at it. Tests are not needed in most cases. The doctor may run tests or ask for a consultation from other specialists to make sure the hemangioma does not affect breathing and eyesight and to assess the depth of the hemangioma. </p> <p>The doctor may order some tests like ultrasound or magnetic resonance imaging (MRI). They help the doctor see how much the hemangioma affects other parts of your child's body. </p><h2>Treatment for hemangiomas</h2><p>Most infantile hemangiomas require no treatment or workup as most go away on their own and are not associated with other problems. Your child's doctor may suggest a "wait and see" approach. This means waiting to see what happens on its own before treating the hemangioma.</p><p>If your child's hemangioma requires treatment, they may be referred to a dermatologist. Your child's doctor will decide if the hemangioma needs to be treated by considering:</p><ul><li>location of the hemangioma on the body </li><li>size of the hemangioma </li><li>age of your child </li><li>risk and benefits of treatment </li></ul><p>Medicine, surgery and laser treatments are options at different stages of hemangiomas, if needed. They can be discussed with your child's primary care provider or dermatologist. </p><p>Treatment options for hemangiomas that are growing may include the following medicines:</p><ul><li>topical gel known as timolol (an eye drop that can help to shrink small hemangiomas)<br></li><li>beta-blockers (propranolol, nadolol) taken by mouth</li><li>laser treatment may be helpful to stop bleeding hemangiomas or to help heal ulcerated hemangiomas. It may also help to improve redness or fine blood vessels if they persist after the hemangioma has gone away or involuted</li></ul><h2>Complications of infantile hemangiomas</h2><p>If your child has an infantile hemangioma on or near the eyes, nose, ears, lips or neck, it might affect their ability to see or breathe. </p><p>Infantile hemangiomas may cause bleeding or become infected and cause pain, especially if they are near diaper areas, skin folds and the lips. </p><p>Infantile hemangiomas may leave a change in skin colour or a change in the skin texture, which can be a cosmetic concern for some people.</p><p>Talk to your doctor if your child has any of these problems.</p><h3>Treating bleeding</h3><p>If your child's hemangioma starts to bleed, follow these steps:</p><ul><li>Apply pressure to the site for 15 minutes. </li><li>If the bleeding does not stop after 15 minutes, take your child to the closest emergency department. </li></ul>
HémangiomesHHémangiomesHemangiomasFrenchDermatologyNewborn (0-28 days);Baby (1-12 months);Toddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years)SkinSkinConditions and diseasesCaregivers Adult (19+)NA2013-06-17T04:00:00ZElena Pope, MD, MSc, FRCPC;Michelle Lee, RN;Jackie Su, RN8.0000000000000061.0000000000000616.000000000000Health (A-Z) - ConditionsHealth A-Z<p> Apprenez ce que sont les excroissances ou tumeurs courantes appelées hémangiomes.</p><h2>Qu'est-ce qu'un hémangiome?</h2> <figure> <span class="asset-image-title">Scénario de croissance de l'hémangiome</span><img src="https://assets.aboutkidshealth.ca/akhassets/Hemangioma_MEDIMG_PHO_EN.jpg" alt="Des points rouges bombées sur le dos" /> </figure> <p>Les hémangiomes constituent les excroissances non cancéreuses les plus courantes chez les bébés. Les hémangiomes sont causés par une croissance excessive de cellules qui recouvrent les petits vaisseaux sanguins de la peau. Ces cellules sont dites endothéliales.</p><p>Les hémangiomes sont des petites modifications (soit plate soit bombées) de la peau de couleur rouge-violette. Ils ne sont pas douloureux à moins que la peau qui les recouvrent soit ouverte (ulcération). Environ 60 % des hémangiomes se trouvent au niveau de la tête et du cou, mais ils peuvent survenir partout sur le corps. Ils apparaissent cependant rarement à l'intérieur du corps.</p><p>Les hémangiomes apparaissent habituellement au cours des deux premières semaines après la naissance. Des hémangiomes plus profonds peuvent ne pas apparaître avant l'âge de 2 ou 3 mois. Environ 30 à 40 % des hémangiomes apparaissent à la naissance sous forme de points à peine visibles, de couleur légèrement pourprée ou différente de la peau qui l'entoure. Les filles ont trois fois plus d'hémangiomes que les garçons.</p><h2>À retenir</h2> <ul> <li>Les hémangiomes sont des excroissances courantes chez les bébés.</li> <li>Ils ne sont pas cancéreux.</li> <li>Les hémangiomes diminuent habituellement lorsque l'enfant vieillit.</li> <li>Les médecins effectueront des analyses et traiteront les hémangiomes s'ils affectent la respiration, la vision ou d'autres organes.</li></ul><h2>Examens pour les hémangiomes</h2> <p>Habituellement, le médecin de votre enfant peut diagnostiquer un hémangiome simplement en l' observant. Dans la plupart des cas, des examens ne sont pas nécessaires. Le médecin peut effectuer des examens ou demander une consultation auprès d' autres spécialistes pour s' assurer que l' hémangiome n' affecte pas la respiration et la vision de votre enfant, et pour en évaluer la profondeur.</p> <p>Le médecin peut demander d' autres examens comme des échographies ou une imagerie par résonnance magnétique (IRM). Ces examens peuvent l' aider à déterminer l' effet de l' hémangiome sur d' autres parties du corps de votre enfant.</p><h2>Traitement des hémangiomes</h2> <p>La plupart des hémangiomes ne nécessitent aucun traitement ou examen puisque la plupart d'entre eux disparaissent tout seuls. Le médecin de votre enfant peut suggérer d'attendre et de voir ce qui se produit avant de traiter l'hémangiome.</p> <p>Le médecin de votre enfant décidera si l'hémangiome doit être traité en tenant compte des points suivants :</p> <ul> <li>l'emplacement de l'hémangiome sur le corps,</li> <li>la taille de l'hémangiome,</li> <li>l'âge de votre enfant,</li> <li>les risques et les avantages du traitement.</li></ul> <p>Des médicaments, une opération de chirurgie et des traitements au laser sont des options de traitement envisageables à différentes étapes de la croissance des hémangiomes. Il est possible d'en discuter avec le médecin de votre enfant.</p> <p>Les options de traitement des hémangiomes en croissance peuvent comprendre les médicaments suivants :</p> <ul> <li>Timolol topique;</li> <li>corticostéroïdes ou béta-bloquants (propranolol, nadolol) à avaler.</li></ul> <h2>Complications liées aux hémangiomes</h2> <p>Un hémangiome sur les yeux, le nez, les oreilles, les lèvres ou le cou (ou près de ceux-ci), pourrait gêner la respiration ou la vision de votre enfant.</p> <p>Les hémangiomes peuvent entraîner des saignements ou s'infecter et être douloureux, surtout s'ils sont situés près de la zone où l'enfant porte une couche, dans un pli de la peau ou sur les lèvres.</p> <p>Si votre enfant éprouve un des problèmes suivants, parlez-en à votre médecin.</p> <h3>Traitement des saignements</h3> <p>Si l'hémangiome de votre enfant commence à saigner, suivez les étapes ci-dessous :</p> <ul> <li>Appliquez de la pression sur le site de l'hémangiome pendant 15 minutes.</li> <li>Si le saignement ne s'arrête pas après 15 minutes, amenez votre enfant au service d'urgence le plus proche.</li></ul>

 

 

 

 

Infantile hemangiomas786.000000000000Infantile hemangiomasInfantile hemangiomasIEnglishDermatologyNewborn (0-28 days);Baby (1-12 months);Toddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years)SkinSkinConditions and diseasesCaregivers Adult (19+)NA2019-11-07T05:00:00ZElena Pope, MD, MSc, FRCPC;Michelle Lee, RN;Jackie Su, RN; Rebecca Levy, MD, FRCPC; Hoi Ling Wong, MD8.6000000000000059.00000000000001001.00000000000Health (A-Z) - ConditionsHealth A-Z<p>Learn about common growths, called infantile hemangiomas. Also, learn when they are tested and treated by doctors.</p><h2>What is an infantile hemangioma?</h2> <figure><span class="asset-image-title">Hemangiomas</span><img src="https://assets.aboutkidshealth.ca/akhassets/Hemangioma_MEDIMG_PHO_EN.jpg" alt="Raised red spots on a person's back" /> </figure> <p>Infantile hemangiomas are the most common, non-cancerous growths in babies. They are caused by extra growth of cells lining the small blood vessels in the skin. These cells are called endothelial (say: en-doh-THEE-lee-ull) cells. </p><p>Infantile hemangiomas present with red-purple skin changes, which are flat or raised. They are soft to touch and do not cause pain unless the skin above is broken (ulceration). About 60% of hemangiomas occur on the head and neck, but they can occur anywhere on the body. Rarely, they can occur inside the body as well.</p><p>Infantile hemangiomas normally appear in the first two weeks of life. Deeper hemangiomas may not appear until two to three months of age. About 30% to 40% of hemangiomas appear at birth as a barely visible spot, either slightly dusky or coloured differently than the skin around them.<br></p><h2>Key points</h2> <ul> <li>Infantile hemangiomas are common growths in babies. </li> <li>They are not cancerous. </li> <li>Hemangiomas usually get smaller as the child gets older. </li> <li>Doctors will run tests and treat the hemangioma if it affects breathing, vision or other organs. </li> </ul><h2>Who is at risk of having an infantile hemangioma?</h2><p>Infantile hemangiomas are more common in girls, twins, premature babies and babies who are born with a low birth weight.</p><h2>Infantile hemangiomas usually get smaller as your child gets older</h2><p>Infantile hemangiomas occur in as many as 5% of babies. They grow the fastest during the first five to seven weeks and reach the ultimate size by several months of age. Most of them stop growing by five to six months of age. </p> <figure class="asset-c-80"> <span class="asset-image-title">Hemangioma growth pattern</span><img src="https://assets.aboutkidshealth.ca/akhassets/Hemangioma_Growth_graph_CHART_IMG_EN.jpg" alt="Graph relating age in months to hemangioma growth, with proliferation between 0 and 4 months and involution between 4 and 6 months" /> </figure> <p>Infantile hemangiomas often follow a predictable pattern of growth (proliferation) and getting smaller (involution). This means they usually get smaller as the child gets older.<br></p><table class="akh-table"><thead><tr><th>Age (approximate)</th><th>Hemangioma phase</th></tr></thead><tbody><tr><td>0 to 4 months</td><td>Proliferation (growth) is rapid</td></tr><tr><td>4 to 6 months<br></td><td>Plateau; growth is very slow or stopping</td></tr><tr><td>12 to 60 months (5 years)<br></td><td>Involution (getting smaller)</td></tr></tbody></table><p>The size, the location and the way the infantile hemangioma looks will not affect how fast it grows or shrinks. After the hemangioma stops growing, your child may still have loose skin, a change in skin colour or a change in the way the skin feels (texture). Sometimes, there will be small blood vessels (telangiectasia) that stay on the skin.<br></p><h2>Testing for hemangiomas</h2> <p>Usually, your child's doctor can diagnose an infantile hemangioma by looking at it. Tests are not needed in most cases. The doctor may run tests or ask for a consultation from other specialists to make sure the hemangioma does not affect breathing and eyesight and to assess the depth of the hemangioma. </p> <p>The doctor may order some tests like ultrasound or magnetic resonance imaging (MRI). They help the doctor see how much the hemangioma affects other parts of your child's body. </p><h2>Treatment for hemangiomas</h2><p>Most infantile hemangiomas require no treatment or workup as most go away on their own and are not associated with other problems. Your child's doctor may suggest a "wait and see" approach. This means waiting to see what happens on its own before treating the hemangioma.</p><p>If your child's hemangioma requires treatment, they may be referred to a dermatologist. Your child's doctor will decide if the hemangioma needs to be treated by considering:</p><ul><li>location of the hemangioma on the body </li><li>size of the hemangioma </li><li>age of your child </li><li>risk and benefits of treatment </li></ul><p>Medicine, surgery and laser treatments are options at different stages of hemangiomas, if needed. They can be discussed with your child's primary care provider or dermatologist. </p><p>Treatment options for hemangiomas that are growing may include the following medicines:</p><ul><li>topical gel known as timolol (an eye drop that can help to shrink small hemangiomas)<br></li><li>beta-blockers (propranolol, nadolol) taken by mouth</li><li>laser treatment may be helpful to stop bleeding hemangiomas or to help heal ulcerated hemangiomas. It may also help to improve redness or fine blood vessels if they persist after the hemangioma has gone away or involuted</li></ul><h2>Complications of infantile hemangiomas</h2><p>If your child has an infantile hemangioma on or near the eyes, nose, ears, lips or neck, it might affect their ability to see or breathe. </p><p>Infantile hemangiomas may cause bleeding or become infected and cause pain, especially if they are near diaper areas, skin folds and the lips. </p><p>Infantile hemangiomas may leave a change in skin colour or a change in the skin texture, which can be a cosmetic concern for some people.</p><p>Talk to your doctor if your child has any of these problems.</p><h3>Treating bleeding</h3><p>If your child's hemangioma starts to bleed, follow these steps:</p><ul><li>Apply pressure to the site for 15 minutes. </li><li>If the bleeding does not stop after 15 minutes, take your child to the closest emergency department. </li></ul><h2>Coping with an infantile hemangioma<br></h2> <p>If your child with a hemangioma is a baby or toddler, talk to your daycare staff and to parents of other children that attend the day care about hemangiomas. Explain that your child has this condition and that it will not spread to other children.</p> <p>School can cause a great deal of stress in children with infantile hemangiomas. By the time children attend grade school, they are old enough to realize that they look different than other children. Parents, family members and teachers should understand the stress these children experience and that these children may need more emotional support and understanding.</p> <h3>Talk to your child about diversity, bullying and acceptance</h3> <p>Talk to your children about hemangiomas and address topics such as diversity, bullying at school and acceptance. Children with hemangiomas often have to endure hurtful comments from other children, even when they are young. They may feel uncomfortable in social situations or self-conscious about their skin. Remind your child that they are not to blame for their hemangioma.</p><h2>Preventing hemangiomas</h2> <p>There is no known way to prevent hemangiomas. We do not know what causes hemangiomas or how to prevent them.</p><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/hemangiomas.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/hemangiomas.jpgInfantile hemangiomasFalse