Hemangiomas: Causes and Treatment Options - Dermatology

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How to manage hemangiomas and their causes?


Recently, I developed a raised lesion on my scalp that is about 5mm in size.
It bleeds easily and is difficult to stop once it is broken.
I would like to know how to manage it and what could be the possible causes for its formation.

Cai Ba, 10~19 year old female. Ask Date: 2022/06/02

Dr. Wu Yuxin reply Dermatology


You need to see it to understand what the problem is.
If there is bleeding, it is recommended to address it as soon as possible.

Reply Date: 2022/06/02

More Info


Hemangiomas are benign tumors made up of blood vessels that can occur in various parts of the body, including the skin and scalp. They are often characterized by a raised, red or purple appearance and can vary in size. In your case, the 5mm bump on your scalp that bleeds easily could be a type of hemangioma, but it is essential to have it evaluated by a healthcare professional for an accurate diagnosis.


Causes of Hemangiomas
The exact cause of hemangiomas is not fully understood, but several factors may contribute to their development:
1. Genetic Factors: Some studies suggest that there may be a genetic predisposition to developing hemangiomas, as they can occur in families.

2. Hormonal Factors: Hemangiomas are more common in females than males, which may indicate a hormonal influence, particularly during pregnancy.

3. Environmental Factors: Certain environmental factors during pregnancy, such as maternal smoking or placental abnormalities, may increase the risk of hemangiomas in infants.


Treatment Options
Treatment for hemangiomas depends on several factors, including their size, location, and whether they are causing symptoms. Here are some common treatment options:
1. Observation: Many hemangiomas, especially those that are small and not causing any issues, may simply be monitored over time. They often shrink and fade on their own, particularly in children.

2. Medications: In some cases, medications such as beta-blockers (e.g., propranolol) are used to help shrink hemangiomas. This treatment has become more common in recent years and is generally well-tolerated.

3. Surgical Removal: If a hemangioma is large, causing pain, or bleeding, surgical removal may be necessary. This is particularly true if the hemangioma is located in a sensitive area or if it poses a risk of complications.

4. Laser Therapy: For superficial hemangiomas, laser therapy can be an effective treatment option. It can help reduce the size and improve the appearance of the hemangioma.

5. Sclerotherapy: This involves injecting a sclerosing agent into the hemangioma to shrink it. This method is often used for larger or more complicated hemangiomas.


Recommendations for Your Situation
Given that your hemangioma is bleeding easily, it is crucial to seek medical attention. Here are some steps you can take:
- Consult a Dermatologist: A dermatologist can evaluate the lesion and determine whether it is indeed a hemangioma or something else. They can also recommend the best course of treatment based on your specific situation.

- Avoid Trauma: Since the hemangioma bleeds easily, try to avoid any trauma to the area. Be cautious when brushing your hair or wearing hats.

- Keep the Area Clean: If the hemangioma does bleed, clean the area gently with mild soap and water, and apply a sterile bandage if necessary to protect it from further injury.

- Monitor for Changes: Keep an eye on the hemangioma for any changes in size, color, or symptoms. If it grows or becomes more painful, seek medical attention promptly.


Conclusion
In summary, hemangiomas are generally benign and can often be managed effectively with observation or treatment. However, due to the bleeding and the potential for complications, it is essential to consult a healthcare professional for a proper diagnosis and treatment plan. Early intervention can help prevent further issues and ensure your health and safety.

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