Paeds rashes

Question 1

Huge red spot birthmark

Answer 1

Port wine stain

Question 2

What is the problem with port wine stain, is it heritable, how do you manage

Answer 2

Abnormal growth of blood vessels whilst in womb
Not heritable
Laser treatment/cosmetic camouflage

Question 3

Conditions associated wit port wine stain

Answer 3

Glaucoma
Sturge Webber Syndrome (also affects blood vessels on scalp/lining of brain, can lead to seizures)
Klippel Trenaunay syndrome

Question 4

What is a haemangioma and what’s the prognosis

Answer 4

Abnormal growth of blood vessels, goes away by itself within 2 years

Question 5

When would you USS a haemangioma

Answer 5

If it’s near the eye
If there’s more than 5 (could mean it’s also in organs esp liver so do liver USS)
Deep
Single large capillary haemangioma

Question 6

Management of haemangioma

Answer 6

Medical photography and review in 3 months
Topical steroid
Topical timolol if small
Oral propranolol if large

Refer in worrying place or laryngeal or ulcerated