Vascular Lesions and Urticaria -Pham

Question 1

What is Sturge-Weber Syndrome? What are some risks associated with it?

Answer 1

• Port-wine stain in V1

- may have ocular and neurological abnormalities (glaucoma and seizures)

Question 2

Who should you refer an infant with a “beard” hemangioma to? Why?

Answer 2

• ENT

- associated with airway hemangiomas—> causing obstruction

Question 3

What is the first line treatment for Infantile Hemangiomas?

Answer 3

Propranolol (inhibits blood vessel growth and constricts blood vessels in hemangiomas, and decreases endothelial growth factor)

Question 4

What can spider angiomas be associated with?

Answer 4

*liver disease

also pregnancy and OTC (but these weren’t bolded in her notes)

Question 5

What can a pyogenic granuloma resemble?

Answer 5

a amelanotic melanoma

*send sample for pathology

Question 6

What is urticaria? How long do they last?

Answer 6

• Superficial dermal swellings (wheals) due to plasma leakage
• wheals are pruritic
• Individual wheels last no more than 24 hours

Question 7

What is micropapular urticaria associated with?

Answer 7

Heat, exertion, exercise or stress

Question 8

What can cause cold urticaria?

Answer 8

-swimming in cold water or severe cold showers

Question 9

What type of urticaria is associated with pain and swelling? What are the causes of this?

Answer 9

Pressure Urticaria

caused by clothing, jewelry or weight bearing

Question 10

What is acute angioedema?

Answer 10

-Transient edema of the deep dermal, subcutaneous and submucosal tissues