Infantile Hemangioma
Journal Title: Pediatrics and Neonatal Nursing – Open Journal - Year 2014, Vol 1, Issue 1
Abstract
Infantile hemangiomas typically appear in the first few weeks of life as areas of pallor, followed by telangiectatic patches. They then grow rapidly in the first 3 to 6 months of life. Superficial lesions are bright red, protuberant, and sharply demarcated and are often referred to as “strawberry hemangiomas”. Deep lesions are bluish and dome-shaped, feel like a “bag of worms”, and are compressible. Infantile hemangiomas have a predilection for the head and neck region. Most infantile hemangiomas exist as solitary lesions. Infantile hemangiomas continue to grow until 9 to 12 months of age, at which time the growth rate slows down to parallel the growth of the child. Half of these lesions will show complete involution by the time a child reaches age 5; 70% will have disappeared by age 7; and 95% will have regressed by ages 10 to 12. The majority of infantile hemangiomas require no treatment. Indications for active intervention include severe or recurrent hemorrhage unresponsive to treatment, threatening ulceration in areas where serious complications might ensue, interference with vital structures, pedunculated hemangiomas, and significant disfigurement. Treatment options include systemic corticosteroids, intralesional corticosteroids, topical and oral beta blockers, pulsed-dye laser, and less commonly interferon-α or surgical resection. In recent years, propranolol, a nonselective β-blocker, has been preferentially used as a first-line treatment of problematic infantile hemangioma.
Authors and Affiliations
Alexander K. C. Leung
Keywords
Related Articles
- EP ID EP555765
- DOI 10.17140/PNNOJ-1-102
- Views 127
- Downloads 0
The Spectrum of Malignant Solid Childhood Tumors in the Age Group of 0-12 Years
Objective: To document general baseline data on the patterns of childhood malignant tumors in a surgical pathology department. Design, Setting and Participants: This is a retrospective analysis of 35 cases of pediatric t...
Reflexion about Pediatrics, Anesthesia and Education in Pediatric Anesthesia in Colombia and South America
Latin America is a region with large changes in the last decade with the purpose of improving its political, economic, social and cultural situation. It must face a series of challenges to improve safety, health and educ...
Do We Know the Optimal Oxygen Concentration for Resuscitating a Premature Newborn?
Fetus develops in a relatively hypoxemic environment in utero; however, extremely premature infants need supplemental oxygen soon after birth at resuscitation. Reduced antioxidant defenses predisposes the premature infan...
Enhancing Child Health and Welfare Following Disasters and Public Health Emergencies in Schools and University Health Centers
Our nation’s families trust schools to protect the health and welfare of their children while in the educational setting. This task has become increasingly difficult to accomplish given the multitude of hazards that thre...
Prevention of Dental Caries (Tooth Decay): Should we be Content With Our Progress?
Some of us may remember the prevalence of dental caries from the 1950’s, 1960’s and during my dental career infancy, the 1970’s. Caries free individuals, child or adult, may well have qualified as an endangered species....