What is it?

Congenital hemangioma are present and fully formed at birth. They generally either rapidly involute (Rapidly Involuting Congenital Hemangioma, RICH) or they persist unchanged (Non-involuting Congenital Hemangioma, NICH). Congenital hemangiomas are equally present in males and females.

What does it look like?

When compared with an infantile hemangioma, congenital hemangiomas tend to present as deeper nodules with overlying prominent telangiectasia and peripheral pallor. RICH can completely involute by 12-15 months old and can leave residual atrophy. Possible complications include necrosis, ulceration and bleeding.

How is it treated?

Congenital hemangiomas do not respond to beta-blocker therapy.  RICH do not require treatment since they generally involute. Surgical excision is usually the treatment of choice for NICH.