Are Acquired Hemangiomas Common? Treatment Options - Dermatology

More Info

---

Acquired hemangiomas, often referred to as "strawberry marks" or "capillary hemangiomas," are vascular lesions that can appear on the skin. While they are more commonly associated with infants and children, it is not unusual for adults to develop these lesions as well. In adults, these acquired hemangiomas can arise due to various factors, including hormonal changes, trauma, or even certain medications.
In your boyfriend's case, the appearance of multiple hemangiomas on his chest and face over the past two to three years could be attributed to several factors. Although they are often benign and may not require treatment, the fact that they are new growths warrants further evaluation. It is essential to consult with a dermatologist or a healthcare provider specializing in skin conditions to assess the lesions properly. They can determine whether these hemangiomas are indeed benign or if they require further investigation.

Regarding treatment options, if the hemangiomas are asymptomatic and not causing any discomfort or cosmetic concerns, a "watchful waiting" approach may be recommended. However, if they are bothersome or if there is any uncertainty about their nature, several treatment options are available:
1. Laser Therapy: This is one of the most common treatments for hemangiomas. Laser therapy can effectively reduce the size and appearance of the lesions by targeting the blood vessels without damaging the surrounding skin.

2. Surgical Excision: If the hemangiomas are large or if there is a concern about their appearance, surgical removal may be an option. This is typically considered when other treatments have not been effective or if the lesions are causing functional issues.

3. Corticosteroids: In some cases, corticosteroids may be prescribed to help shrink the hemangiomas. This treatment is more common in children but can be considered for adults in specific situations.

4. Sclerotherapy: This involves injecting a sclerosing agent into the hemangioma to cause it to shrink. It is less commonly used for superficial hemangiomas but can be effective in certain cases.

5. Cryotherapy: This treatment involves freezing the hemangioma, which can help reduce its size. It is generally used for smaller lesions.

In terms of whether treatment is necessary, it largely depends on the individual's preferences and the hemangiomas' impact on their quality of life. If they are causing emotional distress or if there is a significant cosmetic concern, pursuing treatment may be beneficial.

It is also important to note that while most hemangiomas are benign, any new or changing skin lesions should be evaluated by a healthcare professional to rule out other conditions, including skin cancers. Regular monitoring and follow-up appointments can help ensure that any changes are addressed promptly.

In summary, while acquired hemangiomas can occur in adults, they are generally benign. Treatment options are available, and the decision to pursue treatment should be based on the individual's circumstances and preferences. Consulting with a dermatologist will provide the best guidance tailored to your boyfriend's specific situation.