The Cribsiders

S7 Ep167: Vascular Anomalies: Hemangiomas, Malformations, and More

9 snips
Feb 11, 2026
Sonal Shah, pediatric dermatologist who directs a vascular anomalies clinic, walks through identifying and classifying hemangiomas and vascular malformations. She highlights diagnosis across skin tones, timing for referral and imaging triggers, and medical treatments like propranolol and topical timolol. Practical triage, syndromic associations, and resources for clinicians are also discussed.
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ANECDOTE

Guest Background And Favorite Trip

  • Sonal Shah shares she is a pediatric dermatologist who loves travel, design, and is a mom of two girls.
  • She mentioned Cape Town as her favorite travel destination from college anthropology studies.
INSIGHT

Skin Tone Affects Detection And Outcomes

  • Hemangiomas appear less often and look different in darker skin, causing diagnostic delays and worse complications.
  • Studies show Black infants present later and have higher ulceration rates than white infants.
ADVICE

Red Flags That Trigger Further Workup

  • Image or work up hemangiomas when multiple lesions (≥5), segmental distribution, or large facial/lumbosacral segmental lesions exist.
  • Check liver ultrasound with multiple lesions and consider MRI/echo/ENT/ophthalmology for syndromic concerns.
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