Haemangiomas may encroach on vital structures . Giant haemangiomas may cause high-output heart failure. Management Simple observation and reassurance while awaiting natural resolution is the ideal approach for most haemangiomas. Indications for active intervention, using oral corticosteroids, are an alarming growth rate, threatening ulceration in areas where serious complications could ensue, interference with vital structures and severe bleeding. These patients should be referred urgently to a dermatologist.
Early treatment is essential.
A silicone or zinc barrier cream may be added. Orabase paste may be useful treatment. Responds slowly to standard therapy. Fixed drug eruption . Zinc deficiency .