Haemangioma

Hemangioma

Benign self limiting tumor of endothelial cells

Vascular disease of childhood

Xsed by increased vascularlisation with abnormal blood vessels during the 1st weeks of life.

Resolves by age ten.

May lead to residual tissue damage incase of severe cases.

3 stages

1. Proliferative phase

-xsed by quick groth of tumours along blood vessels lasting upto 12 mmonths

Little change in appearance upto 2 yrs

Hemangioma finnaly reduces in size and by 5 yrs,have reduced by 50%

Nodels and swelling along blod vessels

Ripe strawberry like colour of blood vessels

RISK FACTORS

Runs along the family-genetical predisposition. Equivalence in all races, female 3times more than men

99% unknown. High levels of oestrogen has been implicated

MNX

Most hemangiomas cause resolve on their own but on persistence,they cause cosmetic concerns

On persistence, use oral corticorsteroids ot timolol application to reduce inflame

Surgical removal.

Direct injection of corticosteroids in the hemangioma

COMPLICATIONS

* On breaking,severe ulceration and bleeding

* On larynx vessel,can cause respiratory difficulties.

* Heart failure

* Block an eye-amblyopia

Dx

p.e=along b/v

biopsy

PIGMENTED NEVI(MOLES,BIRTHMARKS)

Growth on skin that are flesh coloured either black or brown and can appear anywhere either singly or in groups.

Can either be flat or protruding.

Occurs when the

They are called congenital melanocytic naevi

Dx

Pe and biopsy

Types

1. Typical nevi-affect anybody anywhere

2. Atypical-large,>5mm,regular borders

Classifications.

1. Reticular nevi

2. Globular

3. Blue nevi

4. Starburst

Mnx

a. Asymptomatic however in cosmetic concerns,surgical removal