Should I Worry About This Telangiectasia?
Discussion
Vascular stains are common problems that parents seek guidance about as they are often particularly worried that there may be an underlying problem or that it may be a long-term cosmetic problem. Fortunately many resolve or become less prominent or have treatment available. The term vascular stains includes all vascular malformations but commonly refers more directly to capillary malformations which are quite common.
Some common vascular stains include:
Nevus simplex
Names: Angel’s kiss (glabella or forehead), salmon patch, stork bite (nape of neck), nevus roseus, fading macular stain
Epidemiology: Very common in newborns (82%)
Appearance: Pink to bright red or violaceous with indistinct borders, midline location. Becomes more distinct with activity
Associated with: eczema can occur in the affected areas, can be seen with other problems such as occult spinal dysraphism, Beckwith-Wiedemann syndrome, and odontodysplasia but these have other signs and symptoms which permit recognition
Evaluation: None
Natural history: Generally fades but neck nape and glabella are more likely to be chronic
DDX: Port-wine stain (PWS) but this is usually more lateral
Port-wine stain (PWS)
Names: Nevus flammeus
Appearance: Light red to dark purple, solid across the tissue, persistent, usually more lateral location but can occur anywhere
Associated with: Sturge-Weber syndrome if located in V1 cranial nerve distribution, Glaucoma if has periocular PWS
Evaluation: MRI and neurolog...
Source: PediatricEducation.org - Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news
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