Hemangiomas....what are those?
Our Hemangioma Experience
As any concerned parent would do we made an appointment with a Vascular Abnormality specialist at Arkansas Childrens Hospital, Dr. Greshram Richter. He examined our daughter when she was about 3 months old and gave us a few options. He explained to us that hemangiomas go through phases, they will be in a growth phase for about the first year, and then will begin to involute on their own. In most cases the hemangiomas will involute completely by age 5, but any larger ones will leave behind skin that is stretched out and sagging. Our first option was to do nothing at all and let nature run it's course and any sagging skin can be treated through surgery at that point. Our second option was a clinical study on a beta blocker called Propanolol. Propanolol is a very safe drug typically used to lower blood pressure, but hasn't been prescribed for children with vascular abnormalities. After doing some research on the internet and discussing it with my husband, we decided that it was worth a shot. My husband and I kept a close watch from week to week hoping to see the effects of this new drug. Right away we noticed a difference in how the hemangiomas felt. Usually they felt firm and very warm to the touch and looked bright red, but when given Propanolol they felt very soft, and slowly we noticed they became a lighter shade of red. After being on Propanolol for a few months, we realized that her hemangiomas weren't getting any smaller in size, but they weren't growing either! Knowing that they weren't getting any larger was a great feeling, and seeing some of them begin to involute was such a relief! My daughter turned one on June 3rd of this year, which was a wonderful time for celebration, but my husband and I knew it was decision time. Now that her hemangiomas were all in the involution phase, we had to decide whether to let nature run it's course and have what remains surgically removed when she is 5, or do we take matters in our own hands and have them removed when she is still young. This was the toughest decision we have ever had to make as parents. In our eyes our daughter is perfect in every way, but the unintentional ignorant public around us didn't necessarily agree. This experience has made me better understand those with physical handicaps and deformities. When you are shopping at Wal-Mart going about your day, and hear people whisper and see them in the corner of your eye stare pass your daughter's stunning blue eyes to see a birth mark! It never made me angry or hurt even, but made me reflect on my own reactions to other people going about his or her day that God made just a little bit differently then me. She is a a very happy and sociable baby and will smile at every person we meet, and she is too young to understand how some people look at her differently (she just loves the attention!) When it came time to decide whether to have surgery now, or wait until she is older, I have to admit this was something that was weighing on my mind. In addition to the funny looks and whispers, I didn't want my sweet little girl to remember being in a hospital or recovering from surgery. So on June 19th, 2009, Adalyn Grace had 3 hemangiomas removed. The largest one on her head, a much smaller one on her ear lobe, and a nickel sized one on her right shoulder blade. All three of these hemangiomas would leave behind sagging skin because of their size and would have to be removed later any way. There are no plans to have the other 8 smaller ones removed, which are all located on her torso, they should all involute completely on their own.
I hope that you have taken from this experience the same thing that I have. When you see someone that God made a little differently from yourself, think about how you would feel if that was your daughter or son. I understand that people are curious about things that they know little about, but treat them like your family, not like an exhibit on display. Don't be afraid, introduce yourself and ask questions if you are that curious! I know that I would much rather take a minute or two out of my day to educate someone then to be whispered about.
Update

Adalyn Grace

Hemangioma on her head

Hemangioma on her ear lobe

Hemangioma on her shoulder

Home from surgery
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Reader Feedback
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- jhoward8704 jhoward8704 Oct 13, 2009 @ 12:21 pm | in reply to Kammy
- I would be glad to give you any information I can about Adalyn's surgery. We had it done about 4 months ago and I know that we made the right decision for our family. Her incisions are fading and you can't even see the one on her head because her hair has grown so much! If you would like to e-mail me, my address is jhoward8704@hotmail.com. I know it's not easy to go through all of this, but God is good and He will guide you and your family to make the right decision!
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- Kammy Kammy Oct 12, 2009 @ 10:23 pm
- Hi! My name is Kammy! My daughter also has hemangiomas is the EXACT same spots as your daugher! She has one on the the ear, shoulder, and head! She has recently turned one and we are also currently making the decision to do surgery. I cried when I read ur story. Its exactly what we have been going through this last year! Her name is also Madielyn Grace. I would love to be able to ask you some question about the surgery!!
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- Jenn Jenn Oct 12, 2009 @ 3:02 pm | in reply to lenubian
- Propanolol is a very safe drug, but I understand being hesitant because I was as well. One thing I would tell you is that the sooner you but your daughter on it the better. Hemangiomas grow very quickly, but I noticed that they didn't grow when we started her on Propanolol. As she grew of course, they would stretch but not grow outwards. Also, don't expect it to magically make them disappear in a week or two because that's not what happens at all. It makes them feel really squishy because of the decreased blood pressure and that keeps the skin from stretching. We had Adalyn's removed about 4 months ago and we couldn't be happier with the result. The incisions are just now beginning to fade and within a few years almost impossible to see. Best of wishes to you and your family!
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- lenubian lenubian Oct 11, 2009 @ 5:15 pm
- my daughter has a hemangioma on her cheek and we experience people talking as we walk pass or whispering. I have been given the option of propanolol but i am so scared and worried. I was so relieved when i heard your daughter is all better after using it.
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- orlando1963 orlando1963 Jul 27, 2009 @ 4:23 am
- Advice on Strawberry Hemangioma
If the mark is large and induce agitated stress to the child, parents should seek the intervention of a medical practitioner who will give advice on strawberry hemangioma. Besides steroids, the hemangiomas can in addition be treated with laser surgery.
Strawberry Hemangioma
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