Question
Management of the clinical condition in a five-month-old baby as shown in the image would most likely be
| A. |
Observation
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| B. |
Immediate treatment with radiotherapy
|
| C. |
Treatment with intralesional steroids at 2 years of age
|
| D. |
Immediate treatment with oral propranolol
|
Show Answer
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Correct Answer � D
Explanation
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|
- Immediate management with oral propranolol is the treatment of choice in the above case.
- The image shows capillary hemangioma involving the right upper lid and periocular region causing severe mechanical ptosis.
- The ptosis is so severe that it obstructs the pupillary area (visual axis) with the risk of sensory deprivation amblyopia.
- This warrants immediate treatment to reduce the bulk of the tumor.
- Capillary hemangioma regresses spontaneously very often. It may be managed by oral propranolol, oral prednisolone, or intralesional steroid.
