Congenital Hemangiomas: When -- and How -- to Excise (Video: 3:30 minutes)
Congenital hemangiomas that grow rapidly or that threaten a vital organ may now be treated with oral propranol or topical timolol. Details here.
Congenital hemangiomas generally undergo spontaneous resolution; 90% disappear by the time a child reaches age 10. However, removal is indicated if these lesions are growing and/or threatening vital organs.
Treatment options include:
. Oral steroids
. Oral propranolol
. Topical timolol
Kasabach-Merritt syndrome involves the presence of a large congenital hemangioma that destroys platelets and consumes coagulation factors. These lesions appear in the early postpartum period; affected children often have a bleeding diathesis.
Treatment includes:
. Correcting the coagulopathy
. Addressing the tumor (via surgery, embolization, oral propranolol, oral steroids)
For more webinar videos, click here.
Major congenital malformations not linked to first trimester tetracycline use
November 22nd 2024A large population-based study found that first-trimester tetracycline exposure does not elevate the risk of major congenital malformations, though specific risks for nervous system and eye anomalies warrant further research.
