Infantile hemangioma

Definition

• Benign vascular skin lesion
  • Variant of capillary

Clinical

• Strawberry Naevus
• Flat lesion
• Elevated & protruding
• 3% of newborn
• 80% solitary
• Initially appears in neonate:
  • Phases
    • Rapid growth phase
      • Several months
    • Arrest
      • By about 5 months of age
    • Regression
      • Over years
      • The most rapid phase of involution is seen between 1–4 years and approximately 50% of lesions involute by 5 years, 70% by 7 years, and 90% by 9 years of age.

Histology

• Proliferating phase
  • Numerous capillaries with plump endothelial cells
• Regression phase

Management

• Regression can be sped up with Propranolol