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Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science

Specialty

pediatric dermatology

Advisor

Elyse Watkins, DHSc, PA-C, DFAAPA

Abstract

Practitioners in specialties that involve newborns would benefit from awareness of the different types of infantile hemangioma, their risks, and treatment options. Infantile hemangioma (IH) is the most prevalent vascular tumor in newborns. Risk factors include females, premature birth, low birth weight, and multiple gestations. The types of IH are superficial, deep, mixed (superficial and deep), reticulate (abortive or minimal growth), and others. Patterns include focal, segmental, multifocal, and indeterminate. Growth phases consist of proliferation, plateau, and involution. Genetic syndromes can also be associated with IH, PHACE, LUMBAR, and PELVIS. Small uncomplicated IH does not require treatment but urgent consultation with a specialist is imperative for large, complicated IH or an IH related to a syndrome. For IH that requires treatment, the two most common treatment options are ophthalmic topical timolol maleate for superficial IH and propranolol for IH needing systemic therapy.

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