Multiple haemangiomas

[selvanr4]

!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?

9ermission to post has been obtained from parents)

Edited March 11, 2013 by selvanr4

[Dinesh N Patel]

It looks like pleomorphic maculopapular rash - chicken pox in the picture

[Stefan Johansson]

I agree with @Dinesh, looks like a varicella rash. If correct you would see crusts coming soon - any such development?

For multiple hemangiomas, we "screen" brain and liver for hemangiomas, using ultrasound.

[selvanr4]

it was noted since birth. no maternal rash and still no crusts!

it is haemangioma. Probably my 3.2 megapixel mobile camera is not good in capturing.

when i see them for review, will post latest pictures

thanks

selvan

[Stefan Johansson]

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

Here're 2 reference about propranolol:

http://www.ncbi.nlm.nih.gov/pubmed/23429945

http://www.ncbi.nlm.nih.gov/pubmed/23278381

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?