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Old 09-09-2012
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Arrow Gyrus Daily Questions; Pediatrics #34

A 2-month-old infant is in your office for a well-child examination. The mother is asking you about a red macule on the infantís cheek. She describes it as getting larger over the past few weeks. You suspect this is a capillary hemagioma. The natural history of an elevated capillary or cavernous hemangioma is best described by which of the following statements?

(A) no significant change in size after birth.
(B) an increase in size during the first few years after birth and then regression.
(C) an increase in size during the first decade of life and then no further change.
(D) a slow but progressive increase in size throughout life.
(E) a slow but progressive decrease in size starting shortly after birth.
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B. Should regress eventually...
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Old 09-09-2012
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B is the answer as stated above too
regresses eventually and also growth initially
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answer is B........
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Old 09-09-2012
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Answer is B
Most capillary or cavernous hemangiomas are small or even invisible at birth. During the first weeks or months of life, they begin to grow and may become very large before finally starting to regress after a few years. Spontaneous regression usually (but not invariably) is complete or nearly so. Recognition of the natural history of this lesion permits reassurance of parents and avoidance of unnecessary therapy. The best cosmetic results are achieved by natural regression. Active intervention (surgery or laser therapy) should be advised only when a complication such as trapping of platelets (Kassabach-Merritt syndrome), erosion of tissue, or impairment of a life-threatening function (eg, vision, breathing) is a problem.
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