Treatment of Infantile haemangioma
Channel: JAM paeds
Date: 2020-11-02

Infantile hemangiomas (IH) are the most common infantile tumor, with a frequency of 4-10% Recently, there has been an interest in propranolol and other beta-blockers in the treatment of IH. Propranolol may be more effective and safer than previously established therapies, and may be an alternative when more widely accepted treatments for IH have failed. Initial studies suggest that it may also be used as a first-line therapy. Other selection criteria may include lesion location that is inaccessible to surgery, lesions with a deep component, severe ulceration and/or cosmetic disfigurement, obstruction of airway or visual axis, and the presence of contraindications to other medical therapies. Parental apprehension remains an important indication for treatment in cutaneous IH, irrespective of the possibility of spontaneous involution. Treatment with propranolol at a dose of 3 mg per kilogram per day for 6 months resulted in a significantly higher success rate