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Questions and Answers
Which imaging modalities are commonly used to assess infantile hemangioma?
Which imaging modalities are commonly used to assess infantile hemangioma?
What are the phases of growth exhibited by an infantile hemangioma?
What are the phases of growth exhibited by an infantile hemangioma?
What are the clinical features of infantile hemangioma?
What are the clinical features of infantile hemangioma?
What complications can be associated with infantile hemangioma?
What complications can be associated with infantile hemangioma?
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What is the management approach for infantile hemangioma?
What is the management approach for infantile hemangioma?
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Study Notes
Imaging Modalities for Infantile Hemangioma
- Ultrasound is the first-line imaging modality due to its non-invasive nature and efficiency in assessing superficial hemangiomas.
- Magnetic Resonance Imaging (MRI) is utilized for deeper or complex lesions, providing excellent tissue characterization.
- Computed Tomography (CT) may be used in specific cases, particularly when evaluating vascular involvement or in surgical planning.
Phases of Growth
- Proliferative Phase: Rapid growth is observed within the first 3 to 9 months of life.
- Involuting Phase: The hemangioma gradually decreases in size, often starting around 12 months and may continue until 5-7 years of age.
- Residual Phase: Some lesions may persist with residual skin changes, pigmentation, or fibrofatty tissue even after involution.
Clinical Features
- Presents as a superficial lesion, usually bright red or purplish in color, commonly appearing on the face, scalp, and trunk.
- Most lesions are asymptomatic but may be accompanied by other cutaneous signs such as surface ulceration, especially in rapidly growing hemangiomas.
- Hemangiomas can vary in size and may be classified as superficial, deep, or mixed types.
Complications
- Potential complications include ulceration, leading to pain and infection.
- Can cause functional impairments depending on location (e.g., affecting vision if over the eye).
- Psychological impact on the child due to visible lesions, particularly in socially sensitive areas.
Management Approach
- Observation is the primary management for most infantile hemangiomas, particularly those that are asymptomatic and not interfering with function.
- Pharmacological options might include beta-blockers, such as propranolol, which is effective for larger or problematic hemangiomas.
- Surgical intervention is reserved for lesions that cause significant complications or cosmetic concerns after involution has occurred.
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Description
Test your knowledge about infantile hemangioma, a benign vascular tumor that predominantly affects premature Caucasian females with low birth weight. Learn about the clinical features, phases of growth, and more in this quiz.