Congenital hemangiomas that grow rapidly or that threaten a vital organ may now be treated with oral propranol or topical timolol. Details here.
Congenital hemangiomas generally undergo spontaneous resolution; 90% disappear by the time a child reaches age 10. However, removal is indicated if these lesions are growing and/or threatening vital organs.
Treatment options include:
. Oral steroids
. Oral propranolol
. Topical timolol
Kasabach-Merritt syndrome involves the presence of a large congenital hemangioma that destroys platelets and consumes coagulation factors. These lesions appear in the early postpartum period; affected children often have a bleeding diathesis.
Treatment includes:
. Correcting the coagulopathy
. Addressing the tumor (via surgery, embolization, oral propranolol, oral steroids)
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Synthesizing CDC immunization recommendations with Mary Koslap-Petraco, DNP, PPCNP-BC, CPNP, FAANP
March 27th 2024Mary Koslap-Petraco, DNP, PPCNP-BC, CPNP, FAANP, provided a review and reminder of the CDC immunization recommendations and schedule during her session at the 45th National Association of Pediatric Nurse Practitioners (NAPNAP) National Conference on Pediatric Health Care in Denver, Colorado.