Which of the following is not a treatment option for capillary hemangioma

  1. observation
  2. oral steroids
  3. surgical resection
  4. intralesional steroid injection
  5. silver nitrate solution

Correct Answer: silver nitrate solution

Silver nitrate solution is not used for the treatment of capillary hemangiomas. The natural course is for these lesions to grow over the first 18 months of life then regress on their own by 7 years of age. They can be observed if they are not causing any functional problems. If located on the eyelid and blocking the visual axis, then can be treated with steroids to shrink them back. Some lesions are small, well circumscribed and pedunculated. These can be surgically removed.

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