fully formed at birth , not increase in size after birth (in contract to infantile hemangioma which increase in size during infantile period)
2 main types :
rapidly involuting congenital hemangiomas (RICH) which regress spontaneously
non-involuting congenital hemangiomas (NICH) no regress
best option is reassurance and waiting , unless complication like erosion , ulcer or hemorrhage (قرحه او نزف)
this case of strawberry hemangioma , most of them regress spontaneously by age 5-8 years after an initial period of rapid growth , systemic therapy with propranolol in complicated cases :
1-rapidly growing (no sign of spontaneous remision)
2-periorbital lesions
3-hemangioma in airway ,GIT ,liver
4-hemangioma with ulceration , scarring
if there is no response to medical therapy , then move to cryotherapy
