Initial management of infantile hemangiomas

IH: infantile hemangioma; LUMBAR: lower-body hemangioma and other cutaneous defects, urogenital anomalies, ulceration, malformations of the spinal cord, bony deformities, anorectal malformations, arterial anomalies, and renal anomalies; PHACE: posterior fossa anomalies, hemangioma, arterial anomalies, cardiac anomalies, and eye anomalies.

* Refer to UpToDate topics on the evaluation and diagnosis of IH for more information.

¶ IH typically grow for several months and up to the age of 1 year (proliferative phase) and then undergo gradual, spontaneous involution over several years.

Δ Oral propranolol is the standard of care for the treatment of IH requiring or eligible for systemic therapy. For detailed information on propranolol dosing and administration, refer to UpToDate topics on the management of IH.

◊ Refer to UpToDate topics on PHACE syndrome for more information.