Management of infantile hemangiomas —experience of a tertiary hospital

Conclusions: Our protocol proved to be safe and feasible in an outpatient setting and twice daily administration of propranolol was effective. The majority of IH showed at least partial regression. Early detection of high-risk IH is paramount and a multidisciplinary assessment by a specialized team is essential for adequate management.What is Known:• IH are the most common vascular tumors in childhood. Although the majority evolves favorably, treatment may be warranted in selected cases.• Early detection of high-risk IH is paramount, and a multidisciplinary assessment by a specialized team is essential for adequate management.What is New:• One-third of our sample was treated with propranolol. These patients had more risk factors and presented deeper lesions with a larger diameter, and tumor total regression was less frequent.• Our results reinforce safety and feasibility of propranolol initiation in an outpatient setting, including twice daily dosage.
Source: European Journal of Pediatrics - Category: Pediatrics Source Type: research