Talk:Infantile hemangioma

Diagnosis?
How are internal hemangiomas diagnosed? --Renice 23:08, 3 January 2007 (UTC)

-- I believe that internal hemangiomas can be located visually. They usually cause some deformity of the body. In other cases where the hemangioma is located near a specific organ, it can disrupt the normal function of the organ any dependent organs. In that case, a problem is not hard to recognize... it's just recognizing the problem. --MykeyJ 09:42, 16 February 2007 (UTC)

In fact internal hemangiomas are not located visually. If a baby has difficulty breathing in association with hemangioma on the face and neck involvement of the larynx must be suspected. If multiple hemangiomas are present on the body, ultrasound of the liver is usually carried out.

This article is wrong. I am 20 and still have the huge hemangioma that I was born with on my thigh.

You may have a vascular malformation and not a hemangioma of infancy which by definition get better. In general a vascular malformation will have been present as long as you can remember and and show growth in proportion to your body growth. Swelling and varicosity may occur slowly over life. Injury may initiate more rapid swelling Philbek (talk) 08:03, 23 February 2008 (UTC)

You can have a hemangioma as an adult they are just more common in children i have and i am an adult. —Preceding unsigned comment added by Bmfred (talk • contribs) 23:39, 24 April 2008 (UTC)

I am a 17 year old Australian and I have a relatively small Strawberry Birthmark on the lower left half of my chest and has stayed the same size since I can remember except it isn't red, it's brown... - Sebastian Kaczorowski (talk) 12:49, 17 June 2008 (UTC)

I had an intramuscular hemangioma appear in my late 30's on my temple and now in my early 40's just had another removed from my shoulder blade. Neither were there at birth. Neither were visible until they grew enough. Neither were red until they grew large enough to present a pink appearance. This article needs to be updated to reflect accurate information. —Preceding unsigned comment added by Mitty702 (talk • contribs) 17:24, 18 June 2008 (UTC)

I will try to explain again, the term hemangioma has been, in the past, incorrectly applied to any swelling of blood vessels. Now the word hemangioma is used to describe only those blood vessel lumps that may or may not be present at birth, but then have a growth phase in the first few months, followed by a phase of dissappearance. Venous malformations can look identical, they are present at birth and do not go away. Sometimes new ones can continue to appear throughout life, the reason for this is still a matter of debate. Venous malformations can be very troublesome causing pain if they are in muscle or joints. Some of them are treated with surgery, other can respond to injection treatment with sclerosants performed by interventional radiologists. Very superficial blue lesions (visible as dark blue lumps) can be treated with long pulsed Nd:YAG laserPhilbek (talk) 22:42, 6 July 2008 (UTC)

You need to do some research Philbek. Sure, venous malformations can look similar but often times INTRAMUSCULAR HEMANGIOMAS are mistaken for VENOUS MALFORMATION not the other way around. — Preceding unsigned comment added by 138.210.242.175 (talk) 22:54, 8 May 2017 (UTC)

"Rare" complications?
This article could use some more research, as a lot of hemangiomas are not benign and cause many complications. MykeyJ 09:39, 16 February 2007 (UTC)

Yes there are some very severe complications like death i know all of these complications because i ave a hemangima and it alsoshould say that it is not always visible and that it can grow on the inside of the skin and is very serious. —Preceding unsigned comment added by 71.97.140.122 (talk) 21:18, 13 January 2008 (UTC)

Laser treatment?
I just talked to my daughter who told me her newborn son is scheduled to see a pediatric dermatologist regarding laser treatment for his hemangioma. She was told this is something they like to do before the baby is 4 months old as it can obviate the need for surgical removal later. I see there's no mention of this in this article. Gr8white 00:09, 3 March 2007 (UTC)

Laser treatment is mentioned in the article. It only works sometimes and only if the the hemangioma is very flatPhilbek (talk) 08:05, 23 February 2008 (UTC)

hemangioma in the leg...
hemangioma if occurs somewhere deep in the leg, causes a lot of pain..the pain appears to be emanating from the deep inside of knee joint.. what should be done for it..the patient is 28 yrs old.. —The preceding unsigned comment was added by 203.90.85.235 (talk) 09:08, 22 April 2007 (UTC).

You are describing a venous malformation and not a hemangioma which will have resolved by age 10. Treatment of venous malformation is difficult and usually involves sclerosant injection or surgery. Superficial cosmetically disfiguring portions will sometimes respond to a specific type of laser Philbek (talk) 08:08, 23 February 2008 (UTC)

Not necessarily they can still be around after the age of 10 i am 16 and see a doctor regularly for treatment and i have a HEMANGIOMA not a venous malformation they dont all go away by the age of 10. —Preceding unsigned comment added by Bmfred (talk • contribs) 23:42, 24 April 2008 (UTC)

The vast majority of hemangiomas of infancy will have resolved by age. Occaisionally there may be some cases of incomplete resolution that need treatment. It is confusing however as there are different entites such as Non involuting congential haemangiomas that do not go away but they are quite different to haemangiomas both in appearance and the fact that they are present fully formed at birth. Philbek (talk) 00:57, 8 November 2009 (UTC) Philbek I have an intramuscular hemangioma in my left calf muscle. It happen to result from a trauma I had when I was 10. 2 years after said trauma my leg started growing and getting bigger and every time I saw a doctor they told me to elevate it and take ibupfofen or that it was just vericose veins. Here I am 11 years later with a huge tumor FINALLY diagnosed and my doctors are bumbling around like idiots and making it worse! I have had chronic pain for 8 YEARS!!! They did a vein ligation and it DIDN'T WORK. IT MADE IT WORSE!!! I can't walk without a limp I can't run its incredibly sensitive to the touch I get blood clots almost regularly. So throw your words around acting like you know something!!! I DO NOT HAVE A VENOUS MALFORMATION. — Preceding unsigned comment added by 138.210.242.175 (talk) 22:44, 8 May 2017 (UTC)

The Man with No Face
Somebody should really include some information about "The Man With No Face" the person featured in a Discovery and TLC documentary. He has a 12 pound Hemangioma that has taken over his entire face. See: http://www.telegraph.co.uk/news/main.jhtml?xml=/news/2007/12/03/wface103.xml —Preceding unsigned comment added by 216.230.102.213 (talk) 02:14, 7 February 2008 (UTC)

This man does not have a hemangioma of infancy. He has a Port-wine stain (capillary vascular malformation) These lesion present at birth as a flat red mark. Very rarely in adulthood they can undergo dramatic thickening. This complication is rare and as yet poorly understood. Philbek (talk) 08:11, 23 February 2008 (UTC)

Angioma Title discussion
Angioma is also a general term for all kinds of vascular anomalies both congental and acquired. It would make this page even more confusing.

"Vascular Anomalies" is the best encompassing heading. —Preceding unsigned comment added by Philbek (talk • contribs) 08:24, 23 February 2008 (UTC)

I find this terribly confusing as it is. There's a "see also" link at the end, to "cherry angioma". That's something that generally arises later in adult life. It's my understanding that an angioma can be of two general categories, an angioma of blood vessels, called a hemangioma, or one of lymph vessels, called lymphangioma. The page on cherry angiomas also refers to them as cherry hemangiomas, and I have also encountered the term Senile Hemangioma. It seems to me that this is not and incorrect use of the word hemangioma.

I understand this article is about Infantile Hemangiomas. But my understanding is that a cherry angioma is also a type of hemangioma, i.e. an angioma of blood vessels. Are you saying that the *only* kind of hemangioma is an infantile hemangioma? And that a cherry angioma is *not* a hemangioma? Or, that it used to be called that but isn't anymore? Or what?

My point is that I came looking for information about cherry angiomas (I didn't know they were called that), and this page says flatly that hemangiomas never develop in adulthood. Whereas the article on cherry (hem)angiomas clearly states that they do.

In my opinion the title of this page should be changed to Infantile Hemangioma, and there should be at least a disambiguation page pointing to other types of hemangioma, i.e. Senile Hemangioma, or, if this page is to remain with the title of only Hemangioma, then it should include references to other types, not only Infantile.

Point taken - will see if it can be changed Philbek (talk) 01:30, 8 November 2009 (UTC) IamNotU (talk) 02:00, 27 April 2009 (UTC)

Propranolol
Interesting report on the use of propranolol to delay growth http://content.nejm.org/cgi/content/full/358/24/2649 JFW | T@lk  12:55, 12 June 2008 (UTC) It is now fair to say that the initial experience with propranolol has been very successful and many treatment centres are using it as first-line therapy.Philbek (talk) 09:03, 1 November 2009 (UTC)

Other Hemangiomas
Dear folks, as a layman who is fretting over an ultrasound diagnosis, I found what I would say is a significant omission on this page, to wit, no mention of Hepatic Hemangioma. May I suggest an addition to address this other usage for the term Hemangioma? Thanks. —Preceding unsigned comment added by 99.28.184.145 (talk) 07:32, 25 April 2009 (UTC)

Oh, sorry, I can't read, just saw the definition discussion at the top, but there seems to be an inconsistency in the literature. Treethinker (talk) 07:38, 25 April 2009 (UTC)

Terminology: "recent" is vague, goes stale, and doesn't scale
The Terminology section says there have been "recent" changes to hemangioma terminology. Obviously "recent" and words like it are not ideal for a living document as such terms do not scale and become maintenance challenges. What's "recent" today becomes less and less recent as time goes by. For accuracy, and to keep the information from going stale, it would be much better to use an exact date, or to use some other wording or term that's less vague than "recent." This section cites one source, from 1982. Assuming the "recent" terminology changes occurred any time before or around 1982, using the term "recent" to describe them is extremely inaccurate. We need to specify an approximate or specific point in time in which these changes began to occur/were introduced. If it's true that books and dictionaries still haven't incorporated these changes, we can still say that (although if it is the case that the terminology changes were introduced >25 years later, it would be worth finding out why because it could indicate that there is lack of consensus or something else going on that we should mention in the interest neutrality and NPOV). I will see what I can find out and do to make this section more accurate/current. In the meantime, if anyone with knowledge about this comes along, please consider updating this article. Hananekosan (talk) 09:23, 2 September 2009 (UTC) I agree, good point, have removed the term "recent". —Preceding unsigned comment added by Philbek (talk • contribs) 09:29, 25 October 2009 (UTC)

"Mulliken et al"
This should have a specific in-line citation, if possible, for clarity. ForestAngel (talk) 21:32, 17 March 2011 (UTC) o que é o henmangioma qual o risco quando eleé situado na cabeça — Preceding unsigned comment added by 177.37.110.193 (talk) 17:01, 12 October 2012 (UTC)

Etymology
The word aggeio is given as the etymology of the -angi- part of the word. The form as given is the Modern Greek form. We do not usually see Modern Greek in etymologies. In Classical Greek the word requires a smooth breathing on the initial alpha, a circumflex accent on the iota of the penultimate syllable, and a final nu.

Apologies - I see the Greek characters given do not allow for the correct representation of Classical Greek. Tchoh. As you were. Signed A. Pedant (Cape Town) — Preceding unsigned comment added by 41.132.99.153 (talk) 16:09, 11 June 2013 (UTC)

Should be re-titled "Infantile Hemangioma"
There are many kinds of hemangioma, but this entry almost exclusively discusses infantile hemangioma, which are probably not even the most common kind. For example, see http://dermoscopymadesimple.blogspot.com/2010/09/haemangioma.html .peter (talk) 17:40, 17 September 2016 (UTC)

More evidence the content on this page should be moved to "Infantile hemangioma" can be found on Wikipedia page https://en.wikipedia.org/wiki/Angioma#Types. It lists several kinds of hemangioma. Four of these have Wikipedia pages. The other three are: https://en.wikipedia.org/wiki/Cherry_hemangioma https://en.wikipedia.org/wiki/Cavernous_angioma https://en.wikipedia.org/wiki/Pyogenic_granuloma — Preceding unsigned comment added by 173.121.223.103 (talk) 14:57, 2 January 2017 (UTC)

Hemangioma should not be capitalized in the article title. Ponydepression (talk) 12:43, 12 November 2017 (UTC)

Lancet
10.1016/S0140-6736(16)00645-0 JFW &#124; T@lk  10:00, 7 July 2017 (UTC)

Proposed merge of Capillary hemangioma into Infantile hemangioma
These articles are referring to the same thing, with Infantile hemangioma the more recent terminology and the more developed article. I propose merging the articles under the more accepted terminology keeping a redirect. |→ Spaully ~talk~ 09:46, 16 April 2021 (UTC)

Treatment notes
Additional treatment notes and citations

> atenolol had similar efficacy and fewer adverse events [than Propranolol] in the treatment of infants with problematic IHs > > https://jamanetwork.com/journals/jamaotolaryngology/article-abstract/2778665?resultClick=1 > > Efficacy and Safety of **Propranolol** vs **Atenolol** in Infants With Problematic Infantile Hemangiomas

> TREATMENT: IHs. Oral propranolol 2–3 mg/kg/day is currently the treatment of choice.... The goal dose is usually 2–3 mg/kg/day in divided doses. Although the IH shrinks rapidly with oral propranolol, a minimum of 6 months of therapy is recommended.... Recurrence after the discontinuation of propranolol occurs in 10–15% of cases. > > For patients with contraindications to propranolol, such as bronchial asthma, atrioventricular block II–III, proneness to hypoglycemia, hypersensitivity to propranolol, pheochromocytoma, and corticosteroids, should be considered... > > **Topical timolol** has gained popularity as a low-risk alternative for treating smaller superficial IHs. > > Propranolol can be the first-line treatment. Hemangiol®, a liquid formulation of propranolol, was approved by the US Food and Drug Administration for the treatment of IHs in 2014 > > https://www.e-cep.org/upload/pdf/cep-2021-00752.pdf

> For small size > > Treatment was started with **topical timolol** 0.5% eye drops, 6 drops applied twice daily with gloved index finger over hemangioma > > https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726918/ Full Decent (talk) 00:51, 27 March 2023 (UTC)

Complication notes
Additional complication notes and citations

> 5 cutaneous IHs was the optimal cutoff point to screen for IHH > > https://pubmed.ncbi.nlm.nih.gov/33285272/

> A 2010 prospective study of 108 infants estimated the incidence of PHACE (posterior fossa malformations, hemangioma, arterial anomalies, cardiac defects, eye anomalies) syndrome to be 31% in children with facial infantile hemangiomas (IHs) of at least 22 cm2. > > https://jamanetwork.com/journals/jamadermatology/article-abstract/2781293?resultClick=1 Full Decent (talk) 00:52, 27 March 2023 (UTC)