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November 1, 1965

Cutaneous Hemangiomas in Children: Diagnosis and Conservative Management

Author Affiliations


From the Pediatric Service, US Naval Hospitals, Bethesda, Md (Dr. Margileth), and Portsmouth, Va (Dr. Museles).

JAMA. 1965;194(5):523-526. doi:10.1001/jama.1965.03090180047011

Hemangiomas in infants and children are managed best by intelligent neglect. Other entities in this category are umbilical hernia, lingua fraenata (tonguetie) and the small ventricular septal defect. Vascular birthmarks pose a common management problem to physicians of almost every speciality because parents frequently seek treatment for such lesions. Although the phenomenon of spontaneous involution of hemangiomas in children was reported 77 years ago and further emphasized in recent articles,1-6 many authors7-10 continue to advocate or discuss active treatment.

During the past seven years we have followed the course of 210 patients will 336 hemangiomas. Active treatment was not used in our patients. Some of the unfortunate complications of active treatment which occurred in children who received therapy elsewhere will be noted. We wish to reemphasize that progressive involution does occur with eventual complete regression in the majority of cutaneous hemangiomas.

Description of Hemangiomas  The subjects comprised 210