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Diagnosis and Conservative Management

Capt A. M. Margileth, MC; Cdr M. Museles

JAMA. 1965;194(5):523-526.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Hemangiomas in infants and children are managed best by intelligent neglect. Other entities in this category are umbilical hernia, lingua fraenata (tonguetie) and the small ventricular septal defect. Vascular birthmarks pose a common management problem to physicians of almost every speciality because parents frequently seek treatment for such lesions. Although the phenomenon of spontaneous involution of hemangiomas in children was reported 77 years ago and further emphasized in recent articles,^1-6 many authors^7-10 continue to advocate or discuss active treatment.

During the past seven years we have followed the course of 210 patients will 336 hemangiomas. Active treatment was not used in our patients. Some of the unfortunate complications of active treatment which occurred in children who received therapy elsewhere will be noted. We wish to reemphasize that progressive involution does occur with eventual complete regression in the majority of cutaneous hemangiomas.

Description of Hemangiomas

The subjects comprised 210 . . . [Full Text PDF of this Article]

Author Affiliations
USN

From the Pediatric Service, US Naval Hospitals, Bethesda, Md (Dr. Margileth), and Portsmouth, Va (Dr. Museles).

Footnotes
Presented as a scientific exhibit at the 114th annual convention of the American Medical Association, New York, June 20-24, 1965.

The opinion or assertions contained herein are those of the authors and are not to be construed as official or as reflecting the views of the Bureau of Medicine and Surgery of the Navy Department, or the naval service at large.

Reprint requests to US Naval Hospital, National Naval Medical Center, Bethesda, Md 20014 (Dr. Margileth).

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