Pediatric emergency medicine trisk 2482 2482
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distribution. Because Sturge–Weber syndrome can involve seizures, intracranial
calcifications, and hemiparesis, infants with unilateral facial port-wine stains in
trigeminal nerve distribution need further assessment.
FIGURE 96.10 Nevus flammeus (port-wine stain). (Reprinted with permission from Nursing
management of the newborn. In: Ricci S, ed. Essentials of Maternity, Newborn, and Women’s
Health Nursing . 4th ed. Wolters Kluwer: Philadelphia, PA; 2017:585–643.)
Hemangiomas
Capillary hemangiomas (strawberry hemangioma) may be present at birth but
usually develop during the first few weeks of life. Lesions may present anywhere
on the body, starting as small, well-demarcated telangiectasis or macules that
develop into raised scarlet or purple tumors with distinct borders. Most capillary
hemangiomas grow rapidly the first 6 months of life, enter into a static period and
then recede, usually by 5 years of age ( Fig. 96.11 ). Cavernous hemangiomas
are deep-seated capillary hemangiomas that usually present at birth as diffuse
swelling with no color change or a bluish hue. Most spontaneously involute over
months to years.
Management . Hemangiomas that require intervention in the neonatal period are
those that may compromise vital structures, such as the eyes, nares, or auditory
canal, or lesions that by their location are susceptible to trauma, ulceration, and
