Hemangioma natural history, complications and prognosis: Difference between revisions

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==Overview==
==Overview==
 
If left untreated, 20% of patients with hemangioma may progress to develop [[ulceration]], [[hemorrhage]], [[infection]], and [[High output failure|high output cardiac failure]]. Common complications of hemangioma include [[ischemia]], [[necrosis]], [[ulceration]], and [[bleeding]]. Prognosis is generally good.
==Natural history==
Hemangiomas are vascular tumors that are rarely apparent at birth, grow rapidly during the first six months of life, involute with time and do not necessarily infiltrate but can sometimes be destructive.<ref name="RichterFriedman2012">{{cite journal|last1=Richter|first1=Gresham T.|last2=Friedman|first2=Adva B.|title=Hemangiomas and Vascular Malformations: Current Theory and Management|journal=International Journal of Pediatrics|volume=2012|year=2012|pages=1–10|issn=1687-9740|doi=10.1155/2012/645678}}</ref><ref name="HassanShreef2014">{{cite journal|last1=Hassan|first1=Basheir A.|last2=Shreef|first2=Khalid S.|title=Propranolol in Treatment of Huge and Complicated Infantile Hemangiomas in Egyptian Children|journal=Dermatology Research and Practice|volume=2014|year=2014|pages=1–5|issn=1687-6105|doi=10.1155/2014/541810}}</ref>
==Complications==
==Complications==
The vast majority of hemangiomas are not associated with complications. Hemangiomas may break down on the surface to form [[ulcers]]. If the ulceration is deep, significant bleeding may rarely occur. Ulceration on the diaper area can be painful and problematic.
Rapid growth of hemangiomas can lead to exhaustion of blood supply with resulting:<ref name="RichterFriedman2012">{{cite journal|last1=Richter|first1=Gresham T.|last2=Friedman|first2=Adva B.|title=Hemangiomas and Vascular Malformations: Current Theory and Management|journal=International Journal of Pediatrics|volume=2012|year=2012|pages=1–10|issn=1687-9740|doi=10.1155/2012/645678}}</ref>
 
*[[Ischemia]]
If an hemangioma develops in the larynx, breathing can be compromised. A hemangioma can grow and block one of the eyes, causing an [[amblyopia|occlusion amblyopia]]. Very rarely, extremely large hemangiomas can cause high-output heart failure due to the amount of blood that must be pumped to excess blood vessels. Lesions adjacent to bone can also cause erosion of the bone.
*[[Necrosis]]
 
*[[Ulceration]]
The most frequent complaints about hemangiomas, however, stem from psychosocial complications: the condition can affect a person's appearance and can provoke attention and malicious reactions from others. Particular problems occur if the lip or nose is involved, as distortion can be difficult to treat surgically.
*[[Bleeding]]
 
===Ophthalmic complications===
Common complications of infantile hemangioma include:<ref name="CallahanYoon2012">{{cite journal|last1=Callahan|first1=Alison B.|last2=Yoon|first2=Michael K.|title=Infantile hemangiomas: A review|journal=Saudi Journal of Ophthalmology|volume=26|issue=3|year=2012|pages=283–291|issn=13194534|doi=10.1016/j.sjopt.2012.05.004}}</ref>
*[[Amblyopia]]
*[[Strabismus]]
*[[Proptosis]]
*Exposure keratopathy
*[[Optic neuropathy|Compressive optic neuropathy]]
==Prognosis==
Hemangioma generally has a good prognosis and is cosidered as a benign condition.
==References==
==References==
{{reflist|2}}
{{Reflist|2}}
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Latest revision as of 22:01, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Nawal Muazam M.D.[2]

Overview

If left untreated, 20% of patients with hemangioma may progress to develop ulceration, hemorrhage, infection, and high output cardiac failure. Common complications of hemangioma include ischemia, necrosis, ulceration, and bleeding. Prognosis is generally good.

Natural history

Hemangiomas are vascular tumors that are rarely apparent at birth, grow rapidly during the first six months of life, involute with time and do not necessarily infiltrate but can sometimes be destructive.[1][2]

Complications

Rapid growth of hemangiomas can lead to exhaustion of blood supply with resulting:[1]

Ophthalmic complications

Common complications of infantile hemangioma include:[3]

Prognosis

Hemangioma generally has a good prognosis and is cosidered as a benign condition.

References

  1. 1.0 1.1 Richter, Gresham T.; Friedman, Adva B. (2012). "Hemangiomas and Vascular Malformations: Current Theory and Management". International Journal of Pediatrics. 2012: 1–10. doi:10.1155/2012/645678. ISSN 1687-9740.
  2. Hassan, Basheir A.; Shreef, Khalid S. (2014). "Propranolol in Treatment of Huge and Complicated Infantile Hemangiomas in Egyptian Children". Dermatology Research and Practice. 2014: 1–5. doi:10.1155/2014/541810. ISSN 1687-6105.
  3. Callahan, Alison B.; Yoon, Michael K. (2012). "Infantile hemangiomas: A review". Saudi Journal of Ophthalmology. 26 (3): 283–291. doi:10.1016/j.sjopt.2012.05.004. ISSN 1319-4534.

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