The majority of hemangiomas never need any form of treatment. Some parents feel that hemangioma treatment is necessary because the marks can be disfiguring and may cause social or psychological problems. Doctors, however, may be hesitant to treat a hemangioma that isn't causing physical problems because hemangiomas usually fade gradually without treatment, and because treatments have potential side effects.
If the growth interferes with your child's vision or causes other problems, treatment options may include:
- Corticosteroid medications. Corticosteroids can be injected into the nodule, given by mouth or applied to the skin. Side effects can include poor growth, high blood sugar, high blood pressure and cataracts.
- Laser surgery. Lasers can stop the growth of a hemangioma. Sometimes lasers can be used to remove a hemangioma or treat sores on a hemangioma that won't heal. Side effects include pain, infection, bleeding, scarring and changes in skin color.
Research to find other treatments with fewer side effects is ongoing. Some newer, though still experimental, treatments include beta blockers, interferon alfa and topical immune suppressants.
If you're considering treatment for your child's hemangioma, weigh the pros and cons with your child's doctor. Remember, most infantile hemangiomas disappear on their own during childhood.
Jul. 30, 2013
Watch Mayo dermatologist Megha Tollefson, M.D., describe infantile hemangiomas, known as strawberry birthmarks, and newer options for treating them.
- Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed June 21, 2013.
- Hay WW, et al. Current Diagnosis & Treatment: Pediatrics. 21st ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=14. Accessed June 21, 2013.
- Usatine RP, et al. The Color Atlas of Family Medicine. New York, NY.: The McGraw-Hill Companies; 2009. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=678. Accessed June 21, 2013.
- Metry DW. Epidemiology, pathogenesis, clinical features and complications of infantile hemangiomas. http://www.uptodate.com/home. Accessed June 21, 2013.
- Metry DW. Management of infantile hemangiomas. http://www.uptodate.com/home. Accessed June 21, 2013.
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