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Multiple haemangiomas


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!9 day old newborn has been brought by the parents for knowing what to do with the multiple haemangiomas present from birth. At present baby is fine on exclusive nreastfeeding.

1) What is the liklehood of this baby having internal haemangiomas?

2)what are the investigations of choice?

3)when should we think about propranolol treatment?

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Edited by selvanr4
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Just to confirm the diagnosis, would it be possible to get a skin biopsi?

Here're 2 reference about propranolol:



If the baby is just well and there is no signs of hemangiomas on complicating sites (airway/liver/brain), I'd think it would be possible with a conservative approach. The great number of hemangioms might be problematic, especially if they are grow much before they start to go back spontaneously. I guess a pediatric dermatologist might vore for beta-blockade.

Do you have a pediatric dermatologist to consult?

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