A woman has just delivered a child with a hemangioma on his right cheek area. The mother clutches the nurse and asks, "What is that thing on his face?" The nurse will respond with which of the following facts? Select all that apply
A) "This is usually called a strawberry 'birth mark' and pretty common in newborns."
B) "These hemangiomas may grow larger early on followed by a period where the growth is reversed."
C) "Most of these hemangiomas will remain with the infant for the rest of his life. However, they are not cancerous."
D) "If this birth mark develops ulceration, we will need to keep a close eye on it to prevent any infections."
E) "We will keep a close watch on your infant's vision since they can develop malformation of the eye that could develop into glaucoma."
Ans: A, B, D
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Hemangiomas of infancy (formerly called strawberry hemangiomas) are small, red lesions that are noticed shortly after birth. Hemangiomas of infancy are generally benign vascular tumors produced by proliferation of endothelial cells. They are seen in approximately 10% of children in the first year of life. Hemangiomas of infancy typically undergo an early period of proliferation during which they enlarge, followed by a period of slow involution during which the growth is reversed until complete resolution. A small percentage of hemangiomas develop complications. Ulceration, the most frequent complication, can be painful and carries the risk of infection, hemorrhage, and scarring. Port-wine stains usually are confined to the skin but may be associated with vascular malformations of the eye, resulting primarily in glaucoma.
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