Vascular Nevus With Spontaneous Involution
Archives of Dermatology and Syphilology 43: 1941; 1033-1035
View Original Source →Abstract
The question of treating or not treating infantile hemangiomas, in view of the fact that the majority of them disappear spontaneously, is reviewed and discussed. Because not all hemangiomas disappear, as proved by their occurrence in adult life, and because with proper treatment the risk involved is very small and the sequelae inconsequential, it is advisable to treat the majority of them, leaving untreated only those which, for size and location, are suitable for later surgical removal, should they not disappear.
Case Details
Personal Characteristics
J. L., a girl aged 4 years
Clinical Characteristics
Had at birth a vascular nevus of the interscapular region which was soft, slightly raised and scarlet, apparently a typical strawberry mark. When the child was seen at the age of 18 months, the lesion measured 15 by 21 millimeters and was slightly raised. The surface had whitened somewhat but was studded with deep red points.
Remission Characteristics
Today the area is flat; a few red dots and a red line about the border are still visible.
Treatment & Mechanisms
Proposed Remission Mechanisms
The type of nevus known as the strawberry mark almost invariably disappears spontaneously
Clinical Treatment
No treatment was advised
Additional Notes
The case is presented for opinion as to the frequency of spontaneous disappearance of such lesions.