Vascular anomalies in children

Vascular anomalies in children are divided into hemangiomas and vascular malformations.

Hemangiomas
Hemangiomas are benign vascular tumors that usually appear shortly after birth, grow rapidly during the first year of life, and then typically regress. About 70% of hemangiomas regress by the age of seven and continue to improve until around 12 years of age.

Most hemangiomas do not require treatment, as the majority resolve spontaneously. Proper counseling of parents is important so they do not worry unnecessarily and understand that time usually works in the child’s favor.

Treatment is required in certain cases where complications occur, such as:
obstruction of vital structures (nose, mouth, eyes, ears) or ulceration leading to bleeding

The choice of treatment depends on the location and size of the hemangioma and may include systemic or intralesional corticosteroids, beta-blockers (propranolol), laser therapy, and surgical excision.

Vascular malformations
Vascular malformations are developmental abnormalities of blood vessels that occur during embryonic life and consist of malformed vessels. They are present at birth, grow proportionally with the child, and do not regress.
Treatment mainly involves vascular laser therapy.

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