Management of cutaneous hemangiomas in pediatric patients

Maria Letizia Musumeci1, Karina Schlecht, Rosario Perrotta

  • 1Department of Dermatology, University of Catania, Italy.

Cutis
|May 22, 2008
PubMed

Insights

Cutaneous hemangiomas (CHs), common childhood vascular tumors, often resolve spontaneously. Treatment is reserved for CHs causing functional issues, significant size, or complications like ulceration, with various therapeutic options available.

Area of Science:

  • Pediatric Dermatology
  • Vascular Biology
  • Oncology

Background:

  • Cutaneous hemangiomas (CHs) are prevalent benign vascular tumors in infants.
  • CHs exhibit a predictable growth and involution pattern, typically resolving by age 10.
  • Intervention is necessary for CHs with functional risks, large size, or complications.

Purpose of the Study:

  • To provide a comprehensive overview of treatment strategies for cutaneous hemangiomas.
  • To discuss first-line, second-line, and third-line therapeutic options.
  • To review emerging and alternative therapies for CHs, including ulcerated forms.

Main Methods:

  • Literature review of established and experimental treatments for CHs.
  • Categorization of therapies based on treatment lines and specific indications.
  • Inclusion of procedural and prospective agents.

Main Results:

  • Corticosteroids are the primary treatment for problematic CHs.
  • Second-line options include interferon, laser, and surgery.
  • Third-line and other therapies encompass cytotoxins, embolization, compression, cryosurgery, radiotherapy, and novel agents like OXi4503 and cidofovir.

Conclusions:

  • A tiered approach to CH management is essential.
  • Treatment selection depends on CH characteristics and complications.
  • Ongoing research explores new agents for refractory or complex cases.

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