Haemangioma
DDx
Consider associated
PHACES
Spinal dysraphism
Distinguish from Kaposiform haemangioendothelioma or tufted haemangioma which can cause Kasabach Merritt (KM) syndrome
Uncomplicated
Complicated
Rx
Topical betablocker
Disfiguring, eye sight impeding, airway compromise, (KM not causes by infantile haemangioma)
Oral propranolol
Corticosteriods
Vincristine if failure of above
(Interferon rarely used now due to side effects of spastic diplegia)
Consider associated
PHACES
Spinal dysraphism
Distinguish from Kaposiform haemangioendothelioma or tufted haemangioma which can cause Kasabach Merritt (KM) syndrome
Uncomplicated
Complicated
Rx
Topical betablocker
Disfiguring, eye sight impeding, airway compromise, (KM not causes by infantile haemangioma)
Oral propranolol
Corticosteriods
Vincristine if failure of above
(Interferon rarely used now due to side effects of spastic diplegia)