2/18/16 Hemangiomas

Question 1

Adverse effects of propranolol

Answer 1

Mild: GI discomfort, rash, fatigue, hypersomnia
Severe: bradycardia, hypotension, bronchospasm, hypoglycemia

Question 2

First line treatment of infantile hemangioma`

Answer 2

• intralesional corticosteroid, oral prednisolone if too large
• propranolol

Question 3

When to treat with PDL

Answer 3

when the hemangiomas has involuted. Do not treat proliferating hemangiomas

Question 4

Venous malformation

Answer 4

• unlike hemangiomas, will grow with child instead of involuting
• treat with sclerotherapy

Question 5

capillary malformations, varicosities, limb hypertrophy, limb-length discrepancies, no AV fistulae

Answer 5

Klippel-Trenaunay syndrome

Question 6

High-output cardiac failure; Vascular malformations with AV fistulae

Answer 6

Parkes-Weber syndrome

Question 7

DIC

Answer 7

Kasabach-Merritt syndrome

• hemangioma with thrombocytopenia
• caused by hemangioendothelioma
• present at birth

Question 8

Treat with sclerotherapy

Answer 8

venous and lymphatic malformation

Question 9

Treat with embolization

Answer 9

AV- malformations

Question 10

Treat with steroids and propranolol

Answer 10

infantile hemangiomas