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What is port wine stain,
is propranolol effective in this disease?
Port wine stains are the lesions in which blood ponds
under the skin and there are no nerve endings at the
lesions. Propranolol does not have effect in this type.
How long should be the
treatment period?
If treatment is started early (in the first 3 months) it
is about 6 months. Treatment period differs accord-
ing to the type of the haemangioma and the initia-
tion time of the therapy.
When is the appropriate
time to initiate treatment?
As soon as possible. The treatment can be start-
ed every time including prematures. The effect
of the drug decreases as the patient gets older.
After the age 2, it is usually ineffective.
•
Is the treatment effective over 1 year
of age in children and in adults?
It is ineffective in adults. Drug effect differs in 1 to 2 years of age
and it decreases over 2 years in children. Since the haemangioma
regresses after 18 months, the treatment has no effect on the
scarring or cosmetic outcome.
•
What are salmon stains
(angel kisses and stork bites)
and how are they treated?
Angel kisses are located on the forehead, and stork bites are
located at the back of the neck in the scalp. They are capil-
lary haemangiomas. Angel kisses heals spontaneously around
4 years of age. Stork bites become pale by time. Both of
them do not need treatment.
Do the haemangiomas which are swollen
from the skin surface need treatment?
They should be followed up. If they become swollen we treat them early
in order to avoid growth, bleeding, infection and cosmetic problems. We
use an ointment drug which resembles to propranolol locally on the lesion
before they become swollen.
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