According to the American Academy of Pediatrics guidelines, when is treatment of infantile hemangioma indicated?

Updated: Nov 09, 2020
  • Author: Richard J Antaya, MD; Chief Editor: William D James, MD  more...
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Answer

Five indications for early treatment of problematic infantile hemangiomas include the following:

  • Life-threatening lesions, such as those that obstruct the airway, those that are associated with high-output congestive heart failure, or those that are ulcerative and profusely bleed
  • Infantile hemangiomas associated with functional impairment, such as a disturbance in vision or feeding interference
  • Infantile hemangioma ulceration
  • Infantile hemangioma–associated congenital anomalies such as PHACE (posterior fossa abnormalities, hemangioma, arterial lesions, cardiac abnormalities/aortic coarctation, and eye abnormalities) syndrome
  • Risk of permanent scarring

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