Best treatment time for infantile hemangioma

Written by Zhang Cui Xiang
Pediatrics
Updated on January 24, 2025
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The optimal time to treat hemangiomas in infants is generally around the age of one year, as the vascular circulation becomes visible as bright red birthmarks on the baby's body. These types of hemangiomas are cutaneous and can be effectively cured through laser treatment in early childhood. The earlier the treatment is applied, the better the outcome; the effectiveness diminishes over time. If the hemangioma does not affect the infant's appearance and is relatively small, treatment can be postponed. It is advisable to choose the timing of treatment based on the specific circumstances of the infant. If the hemangioma is large, it is recommended to seek timely laser surgery treatment at a reputable tertiary hospital.

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Written by Yao Li Qin
Pediatrics
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What should be done about infantile hemangiomas?

If an infant has a hemangioma, it is first necessary to assess the location and size of the hemangioma. Currently, the main treatments for hemangioma include: Firstly, oral medications such as Xin De An, which is commonly used for cardiovascular issues, can gradually reduce the size of the hemangioma. Although it is an oral medication, it is essential to conduct electrocardiograph and echocardiogram examinations before taking the medication, and the treatment should be carried out under the guidance of a hospital doctor, followed by regular observation. Secondly, topical application of certain eye drops may gradually reduce smaller hemangiomas. Thirdly, surgical treatment is used for particularly large hemangiomas to completely eliminate them. Another method is to treat older children with laser or plasma therapy; this is generally performed when the child is older, and the local treatment is quite effective.

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Written by Wu Ben Rong
Pediatrics
46sec home-news-image

Causes and Treatment of Infantile Hemangiomas

Infantile hemangiomas are usually caused by congenital factors, and the pathogenesis and specific causes of hemangiomas are not very clear at the moment. Since there is a certain possibility that infantile hemangiomas can heal on their own, if the hemangioma's location is not very noticeable and not particularly significant, it is advisable to initially observe it. If the hemangioma has not healed on its own by the time the child turns five, consideration can be given to treat it with sclerosing injections or through surgery. If the hemangioma is located in an internal organ and does not severely affect the child's health under normal circumstances, it could still be quite dangerous if it bursts. Therefore, parents should give it enough attention.

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Written by Wu Ben Rong
Pediatrics
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Do hemangiomas in children pulsate?

Children's hemangiomas do not exhibit pulsation. Hemangiomas are benign tumors and can be categorized into true hemangiomas and vascular malformations. However, regardless of the type, hemangiomas generally do not show any obvious symptoms, neither pain nor itchiness. Those that grow on the surface of the skin are easily noticeable due to their obvious location. However, hemangiomas that develop in internal organs usually cannot be detected by oneself; they are typically found during physical examinations. Hemangiomas on the skin surface almost have no impact on children, but those growing in internal organs can be more dangerous if they grow large and rupture, possibly even threatening life. Therefore, if an internal organ hemangioma is discovered, it is crucial to treat it promptly.

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Written by Li Rui
Otolaryngology
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How to treat nasal hemorrhagic angioma?

There are many causes of nosebleeds. If the bleeding is caused by a hemangioma, surgery is generally required. After the surgical removal of the hemangioma, hemostatic treatment can usually be carried out. If the hemangioma is particularly small, some patients may also consider nasal packing for compression hemostasis. After compression by packing, some patients may have the hemangioma occluded and then stop bleeding. However, regular follow-ups are still needed in this situation, as some patients may experience recurrent conditions, and regular nasal endoscopy checks are required to observe any changes in the nasal and sinus conditions. Additionally, routine blood tests and coagulation function tests should be conducted to rule out any blood diseases.

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What should I do if a child has a hemangioma on their foot?

The child has a hemangioma on their foot, and parents can temporarily observe it as some hemangiomas may heal on their own, so there is no need to rush into treatment. Moreover, a hemangioma on the foot usually does not affect the child's health, as it is neither itchy nor painful, and it does not affect the appearance either. If the hemangioma grows very rapidly, and it has not receded by the time the child is five years old, consider using injections of sclerosing agents or surgical treatment options to remove the hemangioma. If the hemangioma is small and not growing rapidly, parents may not need to undertake any special treatment, as a hemangioma on the foot does not affect the body nor does it impact appearance.