Lobular capillary hemangioma in Infant/Neonate
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
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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
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Last Reviewed:11/05/2017
Last Updated:05/07/2019
Last Updated:05/07/2019
Patient Information for Lobular capillary hemangioma in Infant/Neonate
Overview
Lobular capillary hemangioma, also known as pyogenic granuloma, is a small area of inflammation that occurs around a site of injury on the skin. It is usually small and red and appears as a bleeding bump that can grow rapidly over a few weeks. Lobular capillary hemangiomas are almost always noncancerous (benign), although they can resemble cancerous growths as well. Though the name suggests that they are caused by bacteria, they are actually due to the growth of small blood vessels in the skin (capillaries).Who’s At Risk
Lobular capillary hemangiomas are unlikely to occur in infants. Pregnant women and people who have weak immune systems are most often affected.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 a lobular capillary hemangioma may bleed easily, cover the lesion(s) 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 non-cancerous (benign) condition, it is frequently removed due to its tendency to bleed, its tenderness to touch, and its distressing appearance. However, a lobular capillary hemangioma may go away on its 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 Infant/Neonate
See also in: External and Internal Eye,Hair and Scalp,Nail and Distal Digit,Oral Mucosal Lesion