Infantile Hemangioma: Phases, Causes, and Treatments

Jul 4, 2021

Introduction

Welcome to Foley James D MD's comprehensive guide on infantile hemangioma. In this article, we will explore the various phases, causes, and treatment options available for this common vascular condition affecting infants. Our goal is to provide medical professionals and caregivers with accurate and up-to-date information to better understand and manage infantile hemangioma cases.

What is Infantile Hemangioma?

Infantile hemangioma, also known as strawberry hemangioma, is a benign tumor that affects the endothelial cells lining blood vessels in infants. It usually appears within the first few weeks or months of a child's life and grows rapidly during the first year. Hemangiomas are more commonly found in female infants and premature babies.

Phases of Infantile Hemangioma

Infantile hemangioma goes through different phases, each characterized by distinct changes in appearance and behavior. Understanding these phases is crucial for effective management and treatment.

Proliferative Phase

During the proliferative phase, the hemangioma grows rapidly and tends to have a bright red coloration. It may appear as a small, raised area on the skin or as a deep-seated lesion. The growth is typically most significant during the first 3 to 6 months of life.

Plateau Phase

The plateau phase is marked by a period of stable growth. The hemangioma does not undergo significant changes in size or color during this phase, which can last for several months or even years. Monitoring the hemangioma's development during this stage is crucial to detect any complications or potential treatment needs.

Involution Phase

The involution phase is characterized by the natural shrinking and regression of the hemangioma. This phase typically starts around 1 year of age and can last for several years. The color of the hemangioma also changes during this phase, gradually fading from red to a paler color.

Causes of Infantile Hemangioma

The exact cause of infantile hemangioma remains unknown. However, research suggests that it may result from abnormal growth and development of blood vessels in the placenta during pregnancy. Other factors, such as hormonal influences and genetic predisposition, may also play a role in the development of hemangiomas.

Treatment Options

There are various treatment options available for infantile hemangioma, depending on factors such as the size, location, and potential complications associated with the hemangioma. Treatment decisions should be made on an individual basis, considering the unique characteristics of each case.

Observation

In many cases, especially for small and uncomplicated hemangiomas, observation without treatment is sufficient. Regular monitoring by a healthcare professional is essential to ensure that the hemangioma is progressing as expected during the different phases and to detect any signs of complications.

Medical Therapy

Medical therapy may be considered for larger or problematic hemangiomas that require intervention. Options include the use of oral medications, such as beta-blockers, corticosteroids, or other medications that can slow down the growth of the hemangioma or promote its regression.

Laser Therapy

Laser therapy is often used to treat superficial or ulcerated hemangiomas. It involves using specific wavelengths of light to target and remove the abnormal blood vessels without causing significant damage to the surrounding tissues.

Surgical Intervention

In rare cases where other treatment options are not suitable or have not yielded satisfactory results, surgical intervention may be necessary. Surgical excision or other surgical techniques can be used to remove the hemangioma, but this approach is typically reserved for complex or high-risk cases.

Conclusion

Infantile hemangioma is a common vascular condition in infants that requires careful monitoring and, in some cases, intervention. Understanding the different phases, causes, and treatment options associated with this condition is crucial to ensure optimal outcomes for affected infants. At Foley James D MD, we strive to provide invaluable resources and up-to-date information for medical professionals dealing with infantile hemangioma cases, enabling them to deliver the best possible care to their patients.

Jeff Milbauer
Great overview of infantile hemangioma! Very informative and helpful for medical professionals and caregivers.
Nov 11, 2023