Anatom3DInfantile haemangioma (strawberry mark)
Haemangioma infantile · Infantilní hemangiom (jahodové znaménko)
What it is
A benign tumour of blood vessels in about 1 in 20 babies, appearing in the first weeks, growing for months, then shrinking over years; a few threaten sight, breathing or skin and need early treatment.
Symptoms & signs
- Red raised patch appearing in the first weeks
- rapid growth up to about 5 months
- bluish lump if deep
- slow fading after the first year
- ulceration, bleeding
🚩 Get help if…
- call 112 / 911 now Noisy breathing or hoarse cry with a mark on the chin or neck
- see a doctor soon Mark near the eye that closes or pushes on it
- see a doctor soon Mark that breaks down, bleeds or becomes a painful sore
- see a doctor soon Large mark on the face or five or more marks on the skin
Where it strikes
Medical treatment
- Most simply watched
- Oral propranolol, started early for those near the eye, airway, lip or ulcerating — shrinks most; low sugar and sleep problems, monitored trials support
- topical timolol for small, thin ones
- laser or surgery for leftover skin later
- scans for many or large segmental ones (PHACE, liver)
Natural & lifestyle
- Photos to track growth
- protect an ulcerating one with dressings
Emerging & experimental
- Atenolol as an alternative beta blocker
- sirolimus for complex vascular anomalies
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Herbal creams or ointments — no evidence; can irritate ulcerated skin not confirmed in trials
- Compression — sometimes used on limbs; no trials anecdotal / traditional
ICD codes
- ICD-10 D18.0
- ICD-11 2E81.2Z Benign vascular neoplasms of infancy or childhood, unspecified