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    Differentiating and treating vascular lesions in kids


    Therapeutic decision-making for vascular lesions in children presents several challenges. An accurate diagnosis is fundamental to the process, but then there are other issues to consider, according to Sheila Fallon Friedlander, M.D. who spoke to colleagues this past week at the MauiDerm 2016 meeting.

    READ: Treatment pearls for Pediatric vascular lesions

    Discussing the diagnosis and management of pediatric vascular lesions, Dr. Friedlander told colleagues that a red spot in early infancy is likely to be an infantile hemangioma. The risk of these lesions is about 5% overall, but can be much higher in certain groups of infants.

    RECOMMENDED: Top 5 treatment mainstays: Ulcerated pediatric hemangiomas

    “The risk of infantile hemangioma is higher in girls than in boys and it goes up in twins, children born to mothers with placental anomalies, and in premature babies. For a very low birthweight baby, the incidence has been reported as high as 16% to 17%,” she said. Dr. Friedlander is professor of clinical dermatology and pediatrics, Rady Children's Hospital and UCSD School of Medicine, San Diego, Calif.

    NEXT: Assessing vascular lesions in children


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