Infantile Hemangioma (IH), this cute red spot is common in newborn babies and may seem distressing at first glance. This benign, strawberry-shaped blood vessel tumor is one of the most common tumors in infants. While they are generally non-threatening, some people experience unease or even psychological distress from their appearance.
Strawberry marks usually appear within four weeks of birth and grow rapidly within five months before gradually shrinking and disappearing over the next few years. These spots can take a variety of shapes, ranging from obvious red patches to blue bumps.
"There is no definitive reason for the strawberry mark, but some studies suggest that estrogen signaling may play a role."
The appearance and color of strawberry marks vary depending on their location and depth. Superficial marks are brightly colored and sometimes have an uneven shape. Although these tumors are usually painless, they may sometimes cause ulcers that are painful or bleed. Strawberry marks run in families in about 10% of cases and are sometimes associated with other conditions such as PHACE syndrome.
"Strawberry marks carry the potential for complications, particularly if they affect the baby's vision or other vital functions."
For most cases of strawberry marks, doctors usually make the diagnosis by observing their appearance and growth history. In some cases, medical imaging (such as ultrasound) can be used as an aid in diagnosis.
"Imaging tests can provide details on the development of strawberry marks and help doctors confirm the diagnosis."
Most strawberry marks disappear on their own over time without the need for treatment. However, some cases may require medication, such as the beta-blocker propranolol, which is quite effective in treating strawberry marks. Surgery or laser therapy may also be necessary depending on the specific situation.
"The use of propranolol has revolutionized the treatment of strawberry marks and has become the first choice."
As babies grow, strawberry marks usually improve to their best by the age of three and a half years. Most strawberry marks disappear completely by the age of ten, but a few people may have pigmentation or skin changes that require follow-up medical evaluation.
"Continued observation and appropriate management can improve patients' long-term prognosis."
The strawberry mark is more than just a cute appearance; it accompanies the baby's growth and life. So, when faced with such spots, how should we understand and treat them?