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Haemangiomas and vascular malformations

In the Pediatric Dermatology Department at SJD Barcelona Children's Hospital, we have a multidisciplinary unit that integrates the different specialists involved in the diagnosis, treatment and monitoring of children and adolescents with haemangiomas, vascular tumours and vascular malformations

This allows us to evaluate children with tumours and more complex vascular malformations such as PHACE syndrome, Sturge-Weber syndrome, Klippel-Trénaunay syndrome, CLOVES syndrome and other PROS syndromes with overgrowth, Proteus syndrome, macrocephaly-capillary malformation, blue rubber bleb nevus syndrome, Gorham disease, Rendu-Osler disease.

We offer surgery, sclerosis, embolisation, laser treatment, and medical treatment.

We are members of the Hemangioma Investigator Group (HIG) and we collaborate with the European Reference Network for Vascular Anomalies (VASCA-ERN). 

The research studies that we carry out allow us to advance in the knowledge and treatment of vascular lesions. We have discovered the genetic mutation in venous malformations and we collaborate with basic biologists specialising in angiogenesis, which allows us to have cell cultures and animal models to test medical treatments.

In order to tackle the most complex pathologies, we test the newest drugs and techniques.

We collaborate with the Hospital Clínic and the Vascular Lesions Unit of Hospital de la Santa Creu i Sant Pau in Barcelona for the follow-up of our patients when they reach adulthood.

This unit includes specialists in dermatology, plastic surgery, interventional radiology, oncology, diagnostic radiology, genetics, orthopedic surgery and traumatology, ophthalmology, pathological anatomy, otorhinolaryngology, and neurology.

Diseases we treat

Haemangiomas

Haemangiomas or angiomas are red "lumps" that appear or grow in the first months and usually disappear within 4-5 years. Some angiomas may need treatment, depending on where they are and how large they are.

It is not covered by public health

PHACE syndrome

Abnormalities in the large blood vessels of the head or sometimes of the heart, which are seen in some haemangiomas of the face with special characteristics (segmental haemangiomas).

It is not covered by public health

Capillary malformations (port-wine stains)

Red or purple spots that can appear on the skin of the face or body and are treated with a vascular laser. Some stains may be associated with other disorders, which should be investigated.

Venous malformations

Ovules of dilated veins that appear as bluish "lumps" on the skin or in the oral or genital mucosa. They have a tendency to dilate and can cause pain or discomfort. Surgical or medical treatment, sclerosis, or laser treatment may be necessary.

It is not covered by public health

Lymphatic malformations

Malformations of the lymphatic channels, "pipes" that collect excess water from the tissues (lymph). When they are dilated they look like lumps or sometimes small blisters on the skin. They are treated with surgery, sclerosis or medical treatment.

It is not covered by public health

Gorham syndrome

This syndrome presents lymphatic malformations in the bones, which can cause them to break easily. There is a medical treatment for this syndrome.

It is not covered by public health

Lymphoedema

This is a genetic malformation of the lymphatic vessels, which are responsible for collecting lymph (excess water) from the tissues. It manifests as diffuse swelling of the legs or arms.

It is not covered by public health

Sturge-Weber syndrome

Abnormality of the capillaries of the face, the meninges and the eye. This can manifest with glaucoma (increased eye pressure) or epilepsy. Multidisciplinary care by dermatologists, neurologists and ophthalmologists is required.

It is not covered by public health

Klippel-Trénaunay syndrome

In this syndrome there is a capillary malformation as well as anomalous veins in one leg, which is usually larger than the other. It requires multidisciplinary care by dermatologists, orthopaedists, surgeons and interventional radiologists.

It is not covered by public health

Overgrowth syndromes associated with capillary malformations (PROS)

Capillary malformations (CLOVES, PROTEUS, PROS, etc.) can involve abnormal overgrowth of a part of the body due to mutations in genes that control growth. Treatments are being developed that counteract this disorder.

It is not covered by public health

Arteriovenous malformations

In these malformations, there is a direct connection between arteries and veins without passing through capillary vessels. This gives rise to pulsating masses that can grow and bleed at any given moment. They require multidisciplinary care.

It is not covered by public health

Blue rubber bleb nevus syndrome

These are malformations of veins in the skin and also in the digestive tract that cause bleeding and anemia. The malformations are small but multiple and may require laser treatment, surgery, or medical treatment.

It is not covered by public health

Kaposiform haemangioendothelioma, tufted angioma and Kasabach Merrit phenomenon

There is a special type of haemangioma that can sometimes trap blood inside and cause the number of platelets to decrease, which impairs the blood's ability to clot. There is appropriate medical treatment when this happens.

It is not covered by public health

Maffucci syndrome

This is a rare genetic syndrome occurring during childhood and adolescence in which lumps can appear on the bones and cartilage together with skin angiomas.

It is not covered by public health

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