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  #1  
Old 10-19-2008, 07:59 PM
DianaK DianaK is offline
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Question What does hemangioma involution look like?

My daughter is 6 months old and has a quarter size hemangioma on her jawline near her ear. It has become a little bit flaky and darker in the center in the past couple of days. Our well visit with her pediatrician is in a week, and I'm hoping this is the beginning of involution, not an ulcer. Any thoughts/experiences? I have attached photos, if anyone thinks this looks familiar, please let me know. Thanks!!!
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File Type: jpg IMG_1202.jpg (24.8 KB, 113 views)
File Type: jpg IMG_1206.jpg (25.6 KB, 99 views)
File Type: jpg IMG_1208.jpg (35.2 KB, 97 views)

Last edited by DianaK : 10-20-2008 at 08:50 PM.
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Old 10-19-2008, 10:46 PM
missy missy is offline
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That is exactly the way that most people describe involution, but based on the photos, I'd wait until there was more darkness or graying in the center before deciding. Could be involution.

Honestly, it doesn't look like the beginning of an ulcer to me, but keep in mind that I'm the webmaster, so what I say is just all hot air!!!

Let us know what the doctor says next week!

Missy
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Old 10-19-2008, 11:53 PM
DianaK DianaK is offline
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Thanks, that's encouraging. We'll remain hopeful and post results next week!
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Old 10-20-2008, 12:49 PM
jgoodman0814 jgoodman0814 is offline
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you probably wont know until its starts to grey more if its involution. my suggestion if its flaky, put as much lotion (fragrance free) as you can on it. keep moist. this will help keep it from ulcerating if thats whats happening.
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Old 10-20-2008, 04:03 PM
colleenmerkins colleenmerkins is offline
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Before my daughter's started turning gray, it indented and darkened a little. I couldn't tell from the photos if you daughter's has indented, but if it has, maybe it is a good sign!!
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Old 10-20-2008, 04:29 PM
DianaK DianaK is offline
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Thanks, will apply cream. It is slightly indented, so we'll remain hopeful.
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Old 10-20-2008, 08:49 PM
DianaK DianaK is offline
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Here is an additional image that shows a little more closely what is happening.
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Old 10-21-2008, 01:21 PM
jgoodman0814 jgoodman0814 is offline
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just my opinion, but that looks like the beginning of an ulceration. my daughters always started out as a dark spot and flaky. they would then form a small scab and then bleed. keeping a close eye on it is just about all you can do at this point. usually when its involuting, its grey, not dark red like that. good luck. also, at the first sign that it might bleed, take her to be seen. the sooner you get ointment for it the better. ulcerations are very painful.
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Old 10-27-2008, 07:31 PM
DianaK DianaK is offline
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Good news to report...while it did scab over, our pediatrician feels this is the start of involution...Thanks for all of the input!
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Old 10-29-2008, 01:56 PM
yoopertroll yoopertroll is offline
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This definately looks like an involution ulcer. When the scab falls off there should be a flesh color spot left behind.

Barb - Mom to Roni large Difuse facial hemangioma almost gone at age 4. Partial Vascular ring and Mild PHACES.
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