Strawberry slain - common disorders of skin, Biology

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Strawberry Slain:

It  signfies the dilatation  of deeper vessels  to form  cavernous spaces like those seen  in  the erectile tissue of the penis. The  lesion  is well-defined, purple  in  colour and elevated. The size is  If2  to 2  inches  in  diameter. It swells up on  crying and  the cavernous  spaces can be emptied  by  pressure. The naevus bleeds easily  when  injured;  

it  can  become excoriated  and secondarily infected. The most common sites are  the face, the  xalp,  the upper extremities and  the vulva. They  increase  in  size  in  the  first year or two, but a large majority of them tend to disappear spontaneously  by  the age of five, sometimes leaving faint atrophic scars, and at other  times, none at all. A cavernous naevus, particularly  if  it occurs on the vulvar region, rarely becomes malignant. Management  in  strawberry stain  is mostly inactivity and protection from injury and  infection. The patient must be  periodically observed. Only when  the naevus tends  to  increase rapidly without any evidence of spontaneous regression, treatment should  be given preferably after  the  first year of  life. Carbondioxide  for  10  to 20 seconds under pressure gives good results. Small naevi can be surgically excised. Good results have been  reported with liquid nitrogen.  


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