Pediatric emergency medicine trisk 1343 1343
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FIGURE 69.15 Infant with rapidly enlarging hemangioma of the eye.
Hemangiomas occurring in any area, but especially the oral or genital areas,
may ulcerate and become secondarily infected, which may result in pain and
permanent scarring. Treatment with topical or oral antibiotics, oral propranolol,
topical timolol and wound care with nonadherent dressings, can be helpful in
managing these cases. Some may require treatment with a pulsed-dye laser.
Some vascular tumors, including kaposiform hemangioendotheliomas and
tufted angiomas, may resemble hemangiomas. These uncommon vascular tumors
may undergo sudden swelling with resulting hemolytic anemia,
thrombocytopenia, and congestive heart failure, resulting in a life-threatening
syndrome known as Kasabach–Merritt phenomenon. Patients with this syndrome
