Infantile Hemangioma Questions & Answers

Updated: Feb 06, 2019
  • Author: Richard J Antaya, MD; Chief Editor: William D James, MD  more...
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Questions & Answers

Overview

What are infantile hemangiomas?

Where do cutaneous infantile hemangiomas occur?

Where do extracutaneous infantile hemangiomas occur?

What are the stages of superficial cutaneous infantile hemangioma?

What are the features of deep/subcutaneous infantile hemangiomas?

What is the clinical course of infantile hemangioma?

When is skin biopsy indicated in the diagnosis of infantile hemangioma?

Which lab studies have a role in the workup of infantile hemangioma?

What is the role of MRI in the workup of infantile hemangioma?

What is the role of ultrasonography in the diagnosis of infantile hemangioma?

What are treatment options for infantile hemangiomas?

Which drugs are used in the treatment of infantile hemangioma?

Which laser surgery options are used in the treatment of infantile hemangioma?

What is the role of surgical excision in the treatment of infantile hemangioma?

What is an infantile hemangioma?

What is the pathophysiology of infantile hemangiomas?

What is the relationship between infantile hemangiomas and the placenta?

Which types of cells are involved in the development of infantile hemangiomas?

How common are infantile hemangiomas?

Do infantile hemangiomas have a racial predilection?

Are infantile hemangiomas more common in males or females?

At what age do infantile hemangiomas most commonly occur?

What is the mortality/morbidity associated with infantile hemangiomas?

What is the prognosis of infantile hemangiomas?

What information on infantile hemangiomas is available for parents/caregivers?

Presentation

What is the clinical history of infantile hemangiomas?

What are the physical signs of infantile hemangiomas?

How are infantile hemangiomas with minimal or arrested growth (IH-MAG) characterized?

What visual complications are associated with infantile hemangiomas?

Which factors are associated with complications of infantile hemangiomas?

Which infantile hemangiomas are prone to ulceration?

How do infantile hemangiomas cause airway obstruction?

What is diffuse neonatal hemangiomatosis?

What is Kasabach-Merritt phenomenon (KMP) in infantile hemangioma?

How is PHACE syndrome in infantile hemangioma characterized?

What are PELVIS or SACRAL syndromes in infantile hemangioma?

What is the relationship between infantile hemangiomas and hypothyroidism?

What psychosocial problems may arise in infantile hemangioma?

DDX

What are the differential diagnoses for Infantile Hemangioma?

Workup

Which lab studies are indicated in the workup of infantile hemangiomas?

Which imaging studies are indicated in the workup of infantile hemangiomas?

What is the role of skin biopsy in the diagnosis of infantile hemangioma?

What are histologic findings in the diagnosis for infantile hemangiomas?

Treatment

Which medications are used in the treatment of infantile hemangioma?

How is propranolol used in PHACE syndrome associated with infantile hemangioma?

What is the role of laser surgery in the treatment of infantile hemangiomas?

What novel laser treatments are available for the treatment of infantile hemangiomas?

What is the role of surgical excision in the treatment of infantile hemangiomas?

Which specialist consultations are indicated in the treatment of infantile hemangiomas?

Medications

What are the goals of drug treatment for infantile hemangiomas?

What is the role of propranolol in the treatment of infantile hemangiomas?

When is propranolol contraindicated in the treatment of infantile hemangioma?

Which lab tests are indicated before beginning propranolol therapy in the treatment of infantile hemangioma?

What is the dosing protocol for propranolol in the treatment of infantile hemangioma?

How are infants monitored during treatment with propranolol for infantile hemangiomas?

How are eye drops used in the treatment of infantile hemangiomas?

What is the role of corticosteroids in the treatment of infantile hemangiomas?

What is the role of interferons in the treatment of infantile hemangiomas?

What is the role of imiquimod in the treatment of infantile hemangiomas?

What is the role of becaplermin in the treatment of infantile hemangiomas?

Which medications in the drug class Biologic immune response modifiers are used in the treatment of Infantile Hemangioma?

Which medications in the drug class Interferons are used in the treatment of Infantile Hemangioma?

Which medications in the drug class Corticosteroids are used in the treatment of Infantile Hemangioma?

Which medications in the drug class Antiglaucoma, Beta-Blockers are used in the treatment of Infantile Hemangioma?

Which medications in the drug class Beta-adrenergic Blocker are used in the treatment of Infantile Hemangioma?