Abstract
Infantile hemangioma is the most common pediatric vascular tumor, with the following risk factors: low birth weight, prematurity, white skin, female gender, multiparity and advanced maternal age. The use of oral and topical beta-blockers, although recent, has emerged as the first line of treatment, with superior safety and efficacy to previously used therapies, such as corticosteroids and surgeries. This report describes two cases of nasal tip infantile hemangioma, treated with oral propranolol. Both presented excellent therapeutic responses.
Highlights
Infantile Hemangioma (IH) is the most common pediatric vascular tumor, affecting mainly the nasal tip and head, with incidence of 3% to 10%
The clinical course of IH is divided into three phases
Ulcerations, bleeding and obstruction of vital structures can occur during this phase, especially in preterm infants
Summary
Infantile Hemangioma (IH) is the most common pediatric vascular tumor, affecting mainly the nasal tip and head, with incidence of 3% to 10%. Success in the use of oral propranolol in the treatment of infantile hemangioma in nasal tip --- Report of two cases. The plateau phase (in which there is no regression or evolution) arises in approximately 10% of cases, requiring therapeutic intervention, as there is a risk of permanent deformation.1---3
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