Hemangioma oral steroids

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Patients with Diffuse Liver Hemangioma likely have severe hypothyroidism which is caused bye type 3 Iodothyronine deiodinase, this enzyme cleaves off iodine and inactivates it the body.  Aggressive Thyroid Replacement therapy may balance this mechanism.  Monitoring TSH levels can help determine the dosage of thyroid replacement medication to use.  Once the liver Hemangioma has involuted thyroid replacement therapy can be discontinued.   Traditionally the management of this type of liver hemangioma did not include Aggressive Thyroid Replacement Therapy, the hemangioma was managed but the child was impaired mentally due to hypothyroidism.  Understanding the management of TSH levels has prevented this complication. 

 
Normal Nasal Mucosa and Ostea of Maxillary Sinus : Click on pictures to enlarge !!!    
Foreign Body in the Nose:   This picture shows a plastic "hot wheels" toy in the right naris of a 5 year old.  The foreign body is wedged below the middle turbinate .  Attempts at removal in the emergency room was unsuccessful and the child was taken to the operating room for removal. 




Click on pictures to enlarge !!!    
This picture shows a wood chip foreign body in the nose.  It is located under the middle turbinate , deep in the middle meatus .  It was removed in the doctor's office under local anesthesia. 
Click on pictures to enlarge !!!    
Epistaxis :  Search PubMed for Epistaxis This picture shows prominent anterior (up-front) septal vessels which will bleed easily.  This type of nose bleed ( epistaxis ) usually occurs in children.

Hemangioma oral steroids

hemangioma oral steroids

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