Infantile Hemangiomas: An Updated Review on Risk Factors, Pathogenesis, and Treatment

Birth Defects Res. 2017 Jul 3;109(11):809-815. doi: 10.1002/bdr2.1023. Epub 2017 Apr 12.

Abstract

Infantile hemangiomas (IHs) are the most common vascular tumors in infants, appearing in early infancy and ultimately regressing with time. Clinical presentation may vary, with a minority of lesions causing impairment of vital function (e.g., respiratory or visual obstruction), permanent scarring, and/or disfigurement. The pathogenesis of IH is complex and poorly understood. Risk factors implicated in their development include preterm birth and placental anomalies. IH presents a myriad of clinical challenges, including correct diagnosis and whether or not to pursue treatment. This article is a review of the current literature regarding pathogenesis, clinical presentation, treatment, and prognosis of IH. Birth Defects Research 109:809-815, 2017. © 2017 Wiley Periodicals, Inc.

Keywords: beta blockade; glucose transporter-1 (GLUT-1); hemangioma; hypoxia; pregnancy; vascular endothelial growth factor (VEGF).

Publication types

  • Review

MeSH terms

  • Female
  • Hemangioma / diagnosis*
  • Hemangioma / epidemiology*
  • Hemangioma / physiopathology*
  • Hemangioma, Capillary / complications
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Placenta Diseases
  • Pregnancy
  • Prognosis
  • Risk Factors
  • Treatment Outcome
  • Vascular Neoplasms / complications