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Strawberry birthmark

An infantile haemangioma is a group of small blood vessels that forms a red, sometimes bluish patch or swelling. It often appears in the first few weeks after birth.

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A strawberry birthmark is a benign growth of small blood vessels in a baby. Its medical name is infantile haemangioma. Most are harmless, but some need treatment very early because they grow quickly or may damage vision, breathing, feeding or the skin.

  • A strawberry birthmark is often invisible or barely visible at birth and grows mainly in the first one to three months of life.
  • Most haemangiomas have largely finished growing by around five months. They then shrink slowly over several years.
  • Small marks in a safe location can usually be monitored with photographs and check-ups.
  • A mark near the eye, nose, lip, ear, neck or airway, in the nappy area, a large segmental mark or an open wound carries a higher risk.
  • Do not wait for months if a haemangioma may be high risk. Specialist assessment should ideally be arranged in the first few weeks of life.
  • Oral propranolol is the standard treatment when treatment that acts throughout the body is needed. Thin, superficial marks can sometimes be treated with timolol.
  • More than five skin haemangiomas may be a reason to check for haemangiomas in the liver.
  • A haemangioma is not cancer and is not caused by anything the parents did wrong during pregnancy.

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