D.S. asks from Crofton, MD on January 08, 2009
Any Moms Dealing with Infant Hemangioma?
I have a 3 1/2 month old baby girl. She's absolutely beautiful, however she has a hemangioma on her forehead that's the size of a quarter. It's breaking my heart that when people meet her they automatically look at her hemangioma instead of her. I'm having a hard time with the stares from strangers and having to instantly explain what it is to friends or co-workers when I show them her picture. I find that I'm always putting a hat on her and pulling it down to cover the hemangioma.
I just want to know that I'm not alone and that there are other moms out there in a similar boat. If your child had a hemangioma, how long was it before it regressed?
So What Happened?™
UPDATE: So I just got the good news that our insurance company has pre-authorized the propanolol treatment for Bella. We take her to Johns Hopkins on Monday to be admitted for 3 days for monitoring. I should probably clarify that the propanolol is given orally so it's not a surgical procedure and it's not in the steroid family, so the side effects risk is very low in comparison. Once she's discharged, I'll have to give her the propanolol 3X a day with weekly visits to the pedi's office for a blood pressure check. Other children that did this treatment saw noticeable regression within a few weeks, so I'm hoping for the same outcome. Right now her hemangioma is probably a little bigger than a quarter in diameter but it puffs out about 1 1/2 inches...so from the side it is extremely prominent. I'll update once we see how the treatment goes.
Thanks again for all your kinds words!
Thank you to all who responded. Your words of encouragement are greatly appreciated and it's comforting to know there were so many of you who knew someone in this situation and it all worked out. I guess it's more common than I thought.
I took Bella last week to a Pediatric Dermatologist at Johns Hopkins. They just finished a clinical trial for treating infant hemangiomas with propanolol (a beta blocker commonly used for high blood pressure). The results for those patients were astounding with the hemangioma significantly decreasing or disappearing completely within months. Right now we're currently awaiting pre-authorization from our insurance company to see if we can participate in the treatment program, which also includes a 3-night hospital stay for heart monitoring. There aren't a lot of side effects (low blood pressure being one, hence the hospital stay) compared to those side effects common with treating with cortisteroids, so that reassures me. I definitely wouldn't do anything that would endanger her life.
However, I'm not feeling very optimistic that our insurance is going to cover the treatment and hospital stay since it's an elective treatment. Our pediatrician gave us an estimated timeline for its regression (should we not have the treatment), but it's nice to hear your personal stories corroborate that.
Thanks again for all your support! I'll keep you updated once we hear back from our insurance company on whether or not we can have this done.
Featured Answers
K.L. answers from Washington DC on January 08, 2009
My son has one on his arm. He's almost 8 months old now and it hasn't grown in quite some time. I know the pediatrician said that they generally start shrinking after the 1st bday and if by the age of 3 its still visible we can choose to have it lasorred off.
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J.S. answers from Washington DC on January 08, 2009
D.,
I'm so sorry to hear that you and your daughter are dealing with a hemangioma. I can say that my second son has one, though I've not had to deal with your experience at all as it is not located on his face. From speaking with our pediatrician, it is most common for it to be located on the face so we've felt very lucky. With that said I certainly can't say that I know how you feel.
From our pediatrician we were told that most of the time, if growing, the hemangioma may continue to grow and change color until about 9 months of age. At that point they will begin to shrink and fade, though this part of the process can take much longer (sometimes a few years).
With that said, and hopes that you find luck for your daughter, My son's did begin to change for the better sometime shortly after 9 months. The first thing we've noticed is that it has started to lighten in color. The Dr. is right though, it is very slow, but we are happy to see it lighten.
Good luck.
D.S. answers from Washington DC on January 09, 2009
So funny- for a second I thought I had written this :)
My 9 month old also has a hemangioma, but hers is on the side of her head, above her ear. It showed up when she was a few weeks old, and the pediatrician said it would probably grow within the first year, then begin to change color and probably disappear by the time she's 2-3. Well, we've been fortunate that hers hasn't grown much, or if it has it's grown at the same rate as her head so appears about the same. Her hair is growing in a little so it's less noticeable, but it still doesn't really cover it.
As far as comments from strangers, mine have mostly been about how their sister, cousin, etc. had one, or more encouraging, how they had one themselves that is gone now! If people stare it's just that they don't know what it is and they're curious. It may be annoying to have that be the first thing people see, but I'd just get the explanation out of the way quickly and move on to how she has Daddy's chin, Mommy's smile, whatever. I'm sure she's a beautiful little girl!
S.K. answers from Norfolk on January 09, 2009
As I understand it, if the infant is born with it then it will go away on it's own. My son was born with one on the back of his head so thankfully his hair hides it. He's now 7 1/2 and only because i know where it is I can still see a little of it. My doctor told me it would go away by the time he was 4 or 5. However, if it is something that showed up after birth then I really don't know what to tell you expcet to ask your pediatrican about it. I hope this helps. Sory I don't have any more info than that.
M.P. answers from Washington DC on January 09, 2009
Hi there,
Just wanted to say I had one when I was born -- quite large, and right on my upper lip. I think my Mom was always dealing with the "what HAPPENED?!" question!
Basically, our pediatrician said to leave it alone, not to try any of the surgical options available because it could make matters worse, and time would take care of things -- he joked I just needed a lot of kisses :)
Mine pretty much disappeared by the time I was 4 or 5, and my lips look perfectly normal.
I also have a friend whose little daughter had a giant hemangioma on her head just below what would become her hairline, and I see no evidence of it in pictures now!
D.L. answers from Washington DC on January 09, 2009
Hello,
My now 3 year old daughter was born with a hemangioma on the side of her neck, not nearly so prominant location as your daughter, but still noticeable. It was about the size of a dollar coin. Now, it's completely gone and my memory is vague now, but I believe was very close to gone before she was 2 years old, maybe even sooner than that...I'd have to go back and look at pictures.
Be sure you have discussed the hemangioma with your pediatrition if you have concerns about it going away. And don't wait to go and have her seen by a dermatologist if you have concerns after that. Not all of these go away and for your peace of mind you should be sure you have all the information you need.
Hope that helps.
C.G. answers from Washington DC on January 09, 2009
Hang in there D.! My daughter was born with one on the whole side of her hand. She too was stared at. I think people are just curious, however answering the same questions again and again was hurtful. The doctors told us that she should "outgrow" it buy the time she was five to right years old. If not they promised they could remove it with surgery. She is now six years old and I have to look hard to find it! With your daughters being in a more visual spot they may be willing to remove it sooner. I never looked into the risks of removing it, be sure to research that first. Overall keep in mind that God has given you a great gift. She is happy and healthy with a fantastic Mom who loves her deeply! Blessings & Best Wishes!
J.K. answers from Washington DC on January 09, 2009
my 18 month old got this after she was a month old- and it is very noticeable and it is on her forehead as well,
I cannot tell you the amount of times that i get asked "oh, how did she get that bruise" or "oh, you took quite a fall didn't you" and bad looks like i am neglectful.
It made/makes me crazy. Even doctors she sees over and over have asked me about it and i have to remind them about her having it. I even started taking photos of it because i get asked THAT much about her "bruise" and do not want anyone thinking anything.
i was told it would go away by the time she was 18 months. It hAS faded a little, not the dark purple color it was- but i hate it too. I took LOTS of photos with hats, and even started putting light concealer on it, not because I MINDED her having it, but i got sick of people not seeing HER, just the mark.
Her bangs grew and cover it now, but it is a pain. I feel for you, and her. My first daughter did not have it.
they say they usually disappear by age 3-5 and i hope so, but it is a non issue now that she has bangs.
I would think of avoiding the surgery- only because there are so many risks with anesthesia, infection in hospitals, etc. Time will make it fade. You have to kind of go into situations knowing u will be asked- but surgery only helps YOU, not her- if you know what I mean. For little ones, I try to opt OUT of surgery- having had to do a different surgery on the little one (with the hemangioma) that was totally necessary- was still VERY hard on us and on her. Time will fade it, safely.
Good luck,. I know it is frustrating, but feel free to email me privately, i can share some photos with you to show you how it faded over the 18 months.
G.S. answers from Washington DC on January 09, 2009
Hi D.!
My 4th daughter was actually born with one on her back about the size of a quarter as well...It slowly faded over time and she is now 5 years of age and it's barely visible at all...I think people staring is more out of curiosity than anything else or even out of feeling badly that maybe she rolled over and bumped her little head on the side of the crib...truly...just politely answer the stare with a gleeful "the good Lord gave her such an extra big kiss before she left heaven to be with us that we are able to see it..and THAT is how we know she is heaven-sent for sure!" Over time, if she sees your reaction to it as a positive one, then her reaction to it and to people's inquiries will mirror yours! :-)
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