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Itraconazole therapy for infant hemangioma: Two case reports
Zhe Liu1, Sha Lv1, Shuang Wang1
1Department of Dermatology, The Second Hospital of Jilin University, Changchun 130041, Jilin Province, China.
World Journal of Clinical Cases
|November 10, 2021
Summary
Itraconazole effectively treated infantile hemangiomas (IHs) in two cases, reducing lesions by over 90% with no side effects. Further research is needed to confirm its potential as a treatment for IHs.
Area of Science:
- Pediatric Dermatology
- Oncology
Background:
- Infantile hemangiomas (IHs) are common pediatric tumors requiring intervention for cosmetic and functional reasons.
- Current first-line treatments include beta-blockers and corticosteroids.
- Itraconazole, an antifungal, has emerged as a potential alternative therapy.
Observation:
- Two cases of infantile hemangiomas were treated with itraconazole.
- The therapeutic course spanned 80-90 days.
- Significant lesion reduction and good patient/parent compliance were observed.
Findings:
- Itraconazole treatment resulted in over 90% visible lesion fading.
- No significant adverse side effects were reported during the treatment period.
- The antifungal medicine demonstrated a favorable safety and efficacy profile in these IH cases.
Implications:
- These findings support itraconazole as a viable therapeutic option for infantile hemangiomas.
- Larger clinical trials are necessary to validate these results.
- Further basic and clinical studies are warranted to optimize itraconazole treatment protocols for IHs.

