Raspberry the Strawberry Mark
Oct 2nd, 2007 by Nola
When Sun was born, being early and small, they whisked her away from me before I could hold her. But before leaving the Delivery Room, my husband got a good look at her and held her. As the doctor was completing my caesarian section, and I was doing all I could not to panic about having major surgery while being wide awake, I focused all my attention on my daughter. As CS gazed at her for the first time, I heard him ask the nurse, “What’s that on her leg?” WHAT? I thought. What’s WHAT on her leg? Ohmygod! What’s wrong with her??? The nurse very calmly responded, “Oh, that’s just a birthmark.” I could breathe again.
Then the nurse handed Sun to my husband and he brought her to me to see. Then Sun was removed for testing for hours. We waited and waited to see her. When they finally wheeled her in and put her in my arms, the first thing I did was unwrap her and look at her leg. I wanted to be damned sure no one swapped babies on me. And maybe there was another one that looked as cute as her (although that is hard to imagine!), it would be rare for that baby to also have Sun’s unique birthmark. Her mark was there–dark red, almost purple, like a bruise, and smooth on her skin. I thought it’d clear up in a few days. Here’s what it looked like then:
It did not clear up. Instead, it turned from a deep red to a bright red and the skin raised and got bumpy. It is large and takes up a good bit of her left shin. It is technically called a hemangioma and is more commonly referred to as a strawberry mark due to its bright, angry red color and the raised texture of the skin. We were told that best case scenario it would grow and then slowly (over a period of years) disappear.
We were told to “keep an eye on it.” And we did keep an eye on it. It started to get scabby. Did this mean it was starting to “involute” or heal or did it indicate a sign of growth? The internet suggested either could be the case. So two weeks ago we took her to a pediatric dermatologist. The doctor informed us that the scabbing was a sign of growth, aggressive growth. Such scabbing could lead to serious scarring. In an attempt to prevent that, we took the doctor’s advice and allowed her to begin laser treatment and oral steroid treatment. Today was her second laser treatment. The idea is to first stunt the growth of the mark and to rush it into the involution phase. If thereafter it is not reducing in size and color, a second treatment of lasers would be used to diminish its appearance. Here’s (two overexposed pictures, sorry) what it looks like now:


I have a lot of mixed feelings on this whole thing. On the one hand, it is just a birthmark that is not expected to hinder her ability to crawl or walk. It is superficial and not likely to cause permanent injury. Well, other than that potential permanent scarring. In a world where appearances are everything, do I want to encourage that behavior by medically eliminating her negative features? It isn’t like she has a club foot or bow legs. It’s a mark on her skin. A mark that tells me and the world that she is uniquely herself. And do I want to expose her to laser treatment and steroids? No, I do not.
But on the other hand, it is a very large mark and the scabbing is not at all attractive. And there is that very real chance of serious scarring. CS and I have both been asked many times already by perfect strangers, “What’s THAT on her leg?” “Was she burned?” I want to answer these insensitive people, “That is from me smoking (and/or drinking) while pregnant.” But I always cower and find myself defensive and giving the person a crash course on hemangiomas. We cover her leg now in public as much as possible just to keep idiots from asking us dumb questions or giving us weird looks. It is nice that we do get an occasional person who will say, “Oh, look at her birthmark” in a matter-of-fact tone. But that is the exception.
And as bad as CS and I feel when asked these questions, how bad will Sun feel when teased by other children? Kids can be cruel. And as a parent, we all want to shelter our children from needless hardship.
So for us, as bad as I feel about taking action on a mark on Sun’s skin that is not likely to ever cause her a physical problem (well, other than that risk of scarring or not dissipating entirely on its own), the decision has been made and we have taken action (and to me, lasers and steroids are moderately aggressive) because we feel it is in her best interest. We are told that she is likely to have some residual mark on her leg at the end of treatment–the texture of the skin is likely to be wrinkly. But it still saddens me that those features that are unique in us are the ones we sometimes take action to eradicate.


