Hemangiomas and Nail Injuries: Your Questions Answered

Regarding hemangiomas?

Hello, I have had a hemangioma on the sole of my left foot since childhood.
Although doctors have said it is nothing to worry about, recently I have noticed that it feels more prominent compared to my other foot, particularly in the center.
If I want to have it removed, what should I do? If I leave it as is, will it have any impact? Thank you.

I also have a small question.
Recently, while playing basketball, my right pinky finger's nail got hit and bled.
However, after applying a band-aid for half an hour, the bleeding stopped completely, but I noticed some white substance appearing under the nail.
Although I believe this is not a serious issue, I would like to know what this substance is and what causes it.
I appreciate your help.
Thank you.

ar, 10~19 year old female. Ask Date: 2011/07/02

Dr. Guo Fengsheng reply Dermatology

1.
Hemangiomas are mostly benign; as long as there are not too many discomforts, it is optional to remove them.
2.
If white spots appear on the nails and are confirmed to be caused by trauma, observation is sufficient, as they will typically disappear as the nails continue to grow.

Reply Date: 2011/07/02

More Info

Hemangiomas are benign tumors made up of blood vessels, commonly found in various parts of the body, including the skin. They often appear as red or purple marks and can vary in size. In most cases, hemangiomas are harmless and do not require treatment unless they cause discomfort, functional impairment, or cosmetic concerns. Given that you have had a hemangioma on the sole of your left foot since childhood, it is understandable to be concerned about any changes in its appearance, especially if it feels more prominent compared to the other foot.

If you are considering removal, the first step would be to consult with a dermatologist or a vascular surgeon who specializes in treating vascular anomalies. They can assess the hemangioma's characteristics, such as its size, depth, and location, and discuss the potential risks and benefits of removal. Treatment options may include laser therapy, sclerotherapy (injection of a solution to shrink the hemangioma), or surgical excision, depending on the specific case.

As for leaving the hemangioma untreated, if it is not causing any pain or functional issues, many healthcare providers may recommend a watchful waiting approach. Hemangiomas often undergo a natural regression process, especially in children, where they may shrink and fade over time. However, if you notice any significant changes, such as increased size, pain, or bleeding, it is essential to seek medical advice promptly.

Regarding your second concern about the injury to your right pinky finger while playing basketball, it sounds like you experienced a subungual hematoma, which is a collection of blood under the nail. This condition can occur when the nail bed is injured, leading to bleeding and the formation of a bruise. The "white stuff" you see in the nail bed could be a combination of blood and fluid that has pooled under the nail, or it may be the beginning of the nail separating from the nail bed as it heals.

In most cases, subungual hematomas are not serious and will resolve on their own. The pain usually subsides as the blood is reabsorbed, and the nail may eventually grow out, with the discoloration fading over time. However, if you experience severe pain, if the nail appears to be lifting significantly, or if you notice signs of infection (such as increased redness, swelling, or pus), you should seek medical attention. A healthcare provider may need to relieve the pressure by draining the hematoma if it is particularly painful or if the nail is at risk of falling off.

In summary, while hemangiomas are generally benign and may not require treatment unless symptomatic, any changes in their appearance should be evaluated by a medical professional. For your finger injury, monitor the healing process, and seek medical advice if you have concerns about pain or infection. Always prioritize your health and well-being by consulting with healthcare professionals for personalized advice and treatment options.

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