You will be asked about your child’s symptoms and medical history. A physical exam will be done. Some hemangiomas are obvious with physical exam. If there is any question, your doctor may recommend testing. Tests may also be done to determine the size and effect on nearby organs.
Imaging tests can evaluate the hemangioma and surrounding structures. These may include:
Most hemangiomas will resolve on their own and do not require any treatment. The mark will significantly fade by age 5 and nearly disappear by puberty. Your doctor may only recommend monitoring during the growth period.
If the hemangioma is causing problems, one or more of the following treatments may be advised:
Dressings to help prevent infections in ulcerated areas of the skin and to control oozing
Medications may include:
Acetaminophen for pain relief
Beta-blockers, steroids, or vincristine (rarely) to help shrink the hemangioma
Topical ointments to help with wound healing and pain relief
Antibiotics may speed healing with or without the presence of a bacterial infection
Surgery—particularly for hemangiomas that are causing pain, or problems with sight or breathing
Lasers—most effective on superficial hemangiomas
If ulcers have developed, more aggressive treatment may be needed. It may require a combination of treatments above.
Last reviewed November 2018 by
EBSCO Medical Review Board
Marcin Chwistek, MD
Last Updated: 12/20/2014
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