What is an effective treatment for strawberry hemangioma in an infant?

Doctor's Answer

Strawberry haemangiomas are due to abnormal proliferation of blood vessels. They may or may not be present at birth, gradually increase in size in the first few months and involutes over the next few years.

Most cases will not require active treatment. However, if the location is at sites that can cause complications eg. around the eye causing visual obstruction, or at a site that affects feeding or breathing, or if it is increasing rapidly in size with bleeding and ulceration, treament will be required.

Increasingly oral or topical propranolol is the treatment of choice. Other options include oral steriods, laser and surgery.

It is important to establish the correct diagnosis as there are other forms of haemangioms which may not follow this pattern of spontaneous resolution. Ultrasounds or scan may be needed in some cases to confirm the disgnosis.

You can see a dermatologist who can advise you further about this.

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