[Therapeutic indications for immature angioma in the early infancy]

Angiomas are classified briefly and their main features are described. Attention is then directed to the most frequent type: immature angioma. Its main feature is a parenchymatous or soft-elastic consistency; this is important for diagnosis. Little swelling is noted during crying, laughing and with the patient in an inclined position. These angiomas are typical of early infancy and usually regress spontaneously with visible sequelae, as in 70% of the reported series. Treatment should thus be avoided, since it is often useless and may even be damaging. Exceptions include cases where further growth is noted during monthly or bimonthly controls, or where clinically ascertainable cavernomas are formed. Reference is made to the possibility of treatment with triamcinolone, though this is viewed more as a test of the possibility of regression.