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  #1  
Old 12-25-2007, 08:09 PM
noahd noahd is offline
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Default question about involution, turning color, scabbing, and ulceration

Hi everyone,

I was hoping someone could provide some much needed insight! My son is 8 weeks old and has 5 H's (2 on the top of his head, 1 on his eyelid and 2 on his back). The 2 on his head are larger than the rest. They're both slightly larger than a quarter and raised. One of them has turned kind of blackish in the middle with some yellowish scabbing. The other on the top of his head has started to turn greyish in the middle. They're both still raised, but they seem to have flattened somewhat from the center. Is this possibly a sign of involution? None of the other 3 H's have changed much in color or size.

I should note that my wife and I have not seen any bleeding or noticed anything strange other than the changing of color and little bit of scabbing around the blackish part of the H.

After reading several posts, it seems unlikely to start involuting at such a young age and I'm now really concerned that it could be a sign of a coming ulceration.

Any thoughts would be very much appreciated!

Last edited by noahd : 12-25-2007 at 08:21 PM.
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  #2  
Old 12-25-2007, 10:13 PM
eprmo eprmo is offline
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the H you described with black and yellow,,sounds infected.... you should have it checked out..

Graying does mean that specific part may have stopped growing..although it may grow in other areas.

they all react differently, but my concern is the "yellow" around the black..

you should have it looked at by an experienced H specialist....
the sooner it is checked out the better~
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  #3  
Old 12-25-2007, 10:15 PM
missy missy is offline
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From what I know (and I'm the webmaster, so take my advice with a pinch of salt) I would say that the one that is turning yellowish in the middle IS starting to involute. That is the classic sign. And, no, 8 weeks is not too early for involution... every hemangioma is individual.

For the other, turning blackish with yellow scabbing... could you post a picture, by chance? That one sounds like it might be beginning to ulcerate, but again... what do I know?? If you could post a photo of that, you'd get better feedback from parents who have experience with that very thing.

If you have any troubles posting photos, send one to contact@birthmark.org and I'll post it to this thread for you.

Parents with experience in this will chime in very soon!

And, welcome!

Missy
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  #4  
Old 12-26-2007, 11:48 PM
noahd noahd is offline
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Default Pictures of H - any idea if this looks like involution or ulceration?

Hi everyone,

Again, I'm new to this site and finding all the content very helpful. My son is 2 months old and has 5 H's. 2 of them are fairly large and on the top of his head. Of the 2 on the top of his head, 1 is turning grey in the middle and the other initially was grey in the middle, then turned black and now is still black in the middle, but has some yellowish scabbing.

I initially thought/hoped it was the start of involution, but after reading several posts I'm now concerned that it could be the start of an ulceration. If anyone has any experience with an H that looks like this, your feedback would be very much appreciated.

Additionally, my son has an H on his eyelid that I'm worried about. The ped opthamologist isn't too concerned and doesn't think it's effecting his vision, but wants to monitor it closely. I've posted a picture of the eyelid H as well. If he's 2 months old, should we expect it to continue to grow or would it have reached its peak by now?

Thanks everyone!
Attached Images
File Type: jpg Strawberry Hemangioma on head.jpg (7.3 KB, 125 views)
File Type: jpg Strawberry Hemangioma on eye.jpg (8.2 KB, 103 views)
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  #5  
Old 12-26-2007, 11:50 PM
noahd noahd is offline
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sorry - these aren't great quality pictures. i think i compressed them too much. I'll try and attach higher quality pictures.
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  #6  
Old 12-27-2007, 12:16 PM
missy missy is offline
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Hi everyone,

Again, I'm new to this site and finding all the content very helpful. My son is 2 months old and has 5 H's. 2 of them are fairly large and on the top of his head. Of the 2 on the top of his head, 1 is turning grey in the middle and the other initially was grey in the middle, then turned black and now is still black in the middle, but has some yellowish scabbing.

I initially thought/hoped it was the start of involution, but after reading several posts I'm now concerned that it could be the start of an ulceration. If anyone has any experience with an H that looks like this, your feedback would be very much appreciated.

Additionally, my son has an H on his eyelid that I'm worried about. The ped opthamologist isn't too concerned and doesn't think it's effecting his vision, but wants to monitor it closely. I've posted a picture of the eyelid H as well. If he's 2 months old, should we expect it to continue to grow or would it have reached its peak by now?

Thanks everyone!
Attached Images
File Type: jpg Strawberry Hemangioma 005.jpg (44.2 KB, 94 views)
File Type: jpg Strawberry Hemangioma 004.jpg (43.8 KB, 82 views)
File Type: jpg Strawberry Hemangioma 002.jpg (46.4 KB, 81 views)
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  #7  
Old 12-27-2007, 12:19 PM
missy missy is offline
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Do keep in mind that my opinion isn't worth the paper it's written on.

I really think the one that is gray is starting to involute.

I really think the other might be beginning to ulcerate and other parents will have to tell you what to do about that.

I'm with the ped ophthomologist at this point. You can never tell if it is going to grow or not. Do monitor it very closely and ANY changes that happen, photograph them and call the doctor.

Thanks!

Missy
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  #8  
Old 12-28-2007, 01:12 AM
nickbar nickbar is offline
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Grayish color is often the staring of involution. YEAH.

Concerning is the black and yellowish you mentioned. This is likely the sign of an ulcer. The ulcers often appear during rapid growth phases in hemangiomas, but we've also had parents report ulcers appearing during the involution phase. Have you seen your doctor about the ulcerations? What type of medical evaluation has your child had up to this point?

Corinne
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  #9  
Old 12-28-2007, 01:32 AM
noahd noahd is offline
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I'm definitely concerned about the scabbing. It's very minor right now, but from threads I've read it could be an early stage ulceration. We took him to a pediatric dermatologist last week. At that point there was very little scabbing and had the blackish color in the middle. he didn't think it was anything to worry about and thought it could be a sign of involution (this was the first time I had even heard that word - involution... as this is all very new to us). since then, a little more scabbing has developed.

we have an appt with our pediatrician on monday and an appt for an evaluation with dr. reinisch in 2 weeks. i found his name from this website and we live close to his offices.

the H next to one with the scabbing definitely looks like it's involuting (from what i've read on this website). it turned gray in the middle and has flattened. i'm still hopeful that the other one is involuting, but definitely scared.
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  #10  
Old 12-28-2007, 11:53 AM
missy missy is offline
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Dr. Reinisch will take very good care of you! You are in really good hands there!

Missy
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