Congenital mixed infantile hemangioma

Age: 3 months
Gender: Female
Site: Tip of the nose
Duration: 3 months (Since birth)
History: Non-significant apart from onset since birth
Finding:
1) More superficial bright red vascular slightly elevated plaque or swelling (Strawberry nevus or hemangioma) at the tip of the nose
2) Deeper spongy blue red compressible swelling underlying the strawberry nevus and extended beyond its boundaries to involve a large area of the dorsal surface of the nose
Diagnosis: Clinical
Treatment: Reassurance and avoidance of trauma
Prognosis: > 90% of strawberry hemangiomas disappear spontaneously within 1-3 years whereas cavernous hemangiomas are usually persistent and don't regress. Pulsed dye laser might be tried later however the result is questionable in such type of infantile hemangioma!