Birth Marks Flashcards
Vascular BM
Vascular tumors HOI/ congenital Vascular malformations Capillaries eg salmon patches PWS Lymphatic AV malformation
Infantile haemangiomas
1-2% at birth
10/12% 12/12 of age
Females :males 3;1
Seen more in older mums placental issues pet
Onset 1-2 weeks of birth and GROW FAST 3-9/12 of age
Superficial/deep
Slowly regress 50% 5 years 90% 9 years
Deep H do an USS to dd Venous malformation
Complications of Heamangioms
Cosmetic Local function eg on eyelid ptosis Ulcerate nose LL/UL pain Regional effect eg beard subglottic H ( recurrent striodor need ENT) Sacrum spinal /urogenical effect
> 5 HOI other places like liver CCF
PHACES post fossa haem on the face A = aorta probed
C cadiac VSD E = eyes S = sternum
Treat HOI
Propranolol shrink the Haemangioma
Congenital heamangioma
Resembles HOI but NO rapid growth phase
Fully developed at birth
RICH
NICH non involuting
Vascular malformation capillary types 2
Salmon patches
PWS
Salmon patches are a vascular malformation of the capillary
Common 40% Central face /eyelids /neck ( can persist) Mostly the face ones go 1-2 years No treatment Unless cosmetic
PWS
Capillary malformation Present at birth Unilateral 85% or bilateral 15% Proportionate growth No regression Can occur anywhere Long term increased pigmentation /hypertrophic skin Nodules in the lesion
PWS underlying or regional problems
Face PWS Surge Weber syndrome
Limb hypertrophy of the limb
Caraniospinal. Spinal cord or brain abnormalities
Sturge Webber syndrome triad
Facial PWS V1
Head intracranial vascular abnormal ID/Headaches/epilepsy
Eye vascular problem glaucoma
Pigmented BM
Cafe au lait spont
White or hyperpigmented
>5 C au Lait sports NF1
Large block McCune all bring
Hypopigmented lesion X3 Tuberous Sclerosis
ID ash leaf
Epilepsy ASD/ID/ADHD
