Lobular capillary hemangioma in Child
See also in: External and Internal Eye,Hair and Scalp,Nail and Distal Digit,Oral Mucosal LesionAlerts and Notices
Synopsis
They can bleed profusely after even minor trauma. While they can occur in patients aged younger than 6 months, they generally occur in older children. A 2004 study reported an average age of 5.9 years. Lobular capillary hemangiomas comprise 0.5% of all skin nodules in children.
Codes
ICD10CM:L98.0 – Pyogenic granuloma
SNOMEDCT:
200722003 – Pyogenic granuloma
Look For
Subscription Required
Diagnostic Pearls
Subscription Required
Differential Diagnosis & Pitfalls
Best Tests
Subscription Required
Management Pearls
Subscription Required
Therapy
Subscription Required
Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.Subscription Required
References
Subscription Required
Last Reviewed:11/05/2017
Last Updated:05/07/2019
Last Updated:05/07/2019
Patient Information for Lobular capillary hemangioma in Child
Overview
Lobular capillary hemangioma, also known as pyogenic granuloma, is a common non-cancerous (benign) growth that often appears as a rapidly growing, bleeding bump on the skin or inside the mouth. It is made up of blood vessels and may occur at a location that has had a minor injury.Who’s At Risk
Lobular capillary hemangiomas occur in people of all races. Women are more frequently affected than men, though male and female children are equally affected.A lobular capillary hemangioma is most often seen in:
- Children and young adults
- Pregnant women
- Women taking oral contraceptives
- People taking certain oral retinoids, including isotretinoin or acitretin (Soriatane)
- People taking protease inhibitors such as indinavir (Crixivan)
- People undergoing chemotherapy
Signs & Symptoms
The most common locations for a lobular capillary hemangioma include:- Hands, fingers, and forearms
- Head, face, and neck
- Lips, gums, and inner mouth (particularly in pregnant women)
- Trunk
Self-Care Guidelines
Any rapidly growing skin growth should be examined by a physician in order to confirm the correct diagnosis. Because lobular capillary hemangiomas may bleed easily, cover the lesion with a bandage until you see your child's doctor.When to Seek Medical Care
Make an appointment with your child's doctor or a dermatologist if any rapidly growing or bleeding growth develops on your child's skin or in the areas lining body cavities (mucous membranes) such as the mouth, nose, ears, eyes, or genitalia.Treatments
If the diagnosis of lobular capillary hemangioma is suspected, the doctor may perform a skin biopsy. The procedure involves:- Numbing the skin with an injectable anesthetic.
- Sampling a small piece of skin by using a flexible razor blade, a scalpel, or a tiny cookie cutter (called a "punch biopsy"). If a punch biopsy is taken, a suture or two may be placed and will need to be removed 6-14 days later.
- Having the skin sample examined under the microscope by a specially trained physician (dermatopathologist).
Although lobular capillary hemangioma is a harmless condition, it is frequently removed due to its tendency to bleed, its tenderness to the touch, and its distressing appearance. However, lobular capillary hemangiomas may go away on their own without treatment.
If the lobular capillary hemangioma is obvious, the physician may choose to treat it immediately after obtaining a biopsy. Such treatments include:
- Scraping and burning (curettage and cauterization). After numbing with local anesthetic, the area is scraped with a sharp instrument (a curette) and burned with an electric needle (cautery)
- Silver nitrate solution
- Topical imiquimod cream (Aldara)
- Laser treatment
- Freezing with liquid nitrogen (cryotherapy)
- Surgical removal (excision)
References
Bolognia, Jean L., ed. Dermatology, pp.1823-1824. New York: Mosby, 2003.
Freedberg, Irwin M., ed. Fitzpatrick's Dermatology in General Medicine. 6th ed, pp.1003, 1009. New York: McGraw-Hill, 2003.
Lobular capillary hemangioma in Child
See also in: External and Internal Eye,Hair and Scalp,Nail and Distal Digit,Oral Mucosal Lesion