hamangioma, tumor, rash

[usmlethinking]

A 12 month female is brought in by her mother because she afraid that her daughter has a skin tumor. What started as a small red spot on her cheek has recently grown to almost the size of a dime. It now "sticks out" and can be palpated with a bulging appearance. Mom is also concerned because other people have remarked about the lesion, but the child seems unconcerned as it seems to cause no pain.

The pictures below are typical presentation of the above case. What is your diagnosis and what do you do about it?

[doctorron]

Looks like a hemangioma. I'd do nothing because they regress on thier own.

[usmlethinking]

Originally Posted by doctorron

Looks like a hemangioma. I'd do nothing because they regress on thier own.

You are right. It is a strawberry hemangioma. Why is it a strawberry hemangioma and not a blackberry hamangioma? You can see the resemblance here.

[mital82]

i agree it is straberry hemangioma.
reasons being it has typical location at side of forehead (personally seen few of them) . bulgin , painless , vascular.
history is typical . it was not prominent or even like spot at birth then it grows durin 3 to 12 months . then usually it remains constant for about 7 years. from around 8 years on it starts to regress. so as a part of treatment we do is counselling that it will go away as child grows.

[step2er]

is this blanch on pressure?

[RUBABA TAHERI PANAH]

yes,it will blanch on applying pressure.from a pathological point of view,strawberry naevi are congenital intradermal hemangiomata.gentle sustained pressure will squeeze most of the blood out of the lesion,leaving it collapsed,crinkled and colourless.

[md.ammar]

thanx a lot