ABSTRACT

This chapter presents the case study of a 3-year-old girl. A 3-year-old girl attends the paediatric dermatology clinic with her mother. She has a red lesion on her left ear, which her mother fears will lead to bullying in school. The lesion is entirely asymptomatic. She is thriving with height and weight between the 50th and 75th centiles for her age. She has an elevated, dome-shaped, dusky red, rubbery, non-tender lesion on the dorsal aspect of the lobule of her left ear. Most infantile haemangiomas are medically insignificant and the vast majority of lesions (80 per cent) are focal and solitary. Medical treatment with systemic or intra-lesional corticosteroids can be effective at slowing the growth and decreasing the size of proliferating haemangiomas. Laser therapy is beneficial in treating ulcerated haemangiomas and thin superficial lesions in cosmetically sensitive sites.