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May 1986

Picture of the Month

Author Affiliations

Contributed from the Department of Pediatrics, Athens University "Aghia Sophia" Children's Hospital, Athens, Greece.

Am J Dis Child. 1986;140(5):447-448. doi:10.1001/archpedi.1986.02140190057025

Denouement and Discussion 

Benign Neonatal Hemangiomatosis 

Manifestations  Benign neonatal hemangiomatosis (BNH) consists of multiple, small, bright-red to purple, capillary hemangiomas that range in size from that of a pinhead to 20 mm in diameter. Only the skin is affected; there is no mucous membrane or visceral involvement. The hemangiomas usually are present at birth or appear during the first few weeks of life. They rapidly increase in size and number until approximately 3 weeks of age, at which time they begin to spontaneously regress. Involution is usually complete by the fourth month of life.The more common type of hemangiomas, such as strawberry hemangiomas, are easily differentiated from BNH. They are not as numerous and first appear as a white or reddish spot, a telangiectatic lesion surrounded by a pale halo, or a fully developed hemangioma. The hemangiomas