Current treatment and management of infantile hemangiomas

Kellie R Satterfield1, Christopher B Chambers2

  • 1Department of Medicine, Scripps Mercy Hospital, San Diego, California, USA; Department of Ophthalmology, University of Washington, Seattle, Washington DC, USA.

Survey of Ophthalmology
|February 18, 2019
PubMed

Insights

Infantile hemangiomas are common benign vascular tumors in children. While often resolving spontaneously, severe cases require treatment, with beta-blockers being a primary option.

Area of Science:

  • Pediatric Dermatology
  • Vascular Biology
  • Oncology

Background:

  • Infantile hemangiomas are common benign vascular tumors in children.
  • They typically involute spontaneously but can cause significant cosmetic or functional issues.
  • Life-threatening complications are rare but possible depending on location and size.

Purpose of the Study:

  • To review current management strategies for infantile hemangiomas.
  • To discuss the benefits and risks of various treatment modalities.
  • To provide an overview of therapeutic options for infantile capillary hemangiomas.

Main Methods:

  • Literature review of infantile hemangioma treatments.
  • Analysis of previously reported therapeutic modalities.
  • Discussion of current recommended management.

Main Results:

  • Beta-blockers are a mainstay therapy due to efficacy and safety.
  • Other treatments include corticosteroids, imiquimod, vincristine, bleomycin A5, interferon α, captopril, laser therapy, and surgery.
  • Treatment choice depends on hemangioma characteristics and potential complications.

Conclusions:

  • Infantile hemangiomas require careful management based on individual patient factors.
  • A range of treatment options exist, each with specific benefits and risks.
  • Timely intervention can prevent long-term sequelae and improve outcomes.

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