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CASE REPORT
Year : 2015  |  Volume : 4  |  Issue : 1  |  Page : 135-136

Infantile hemangioma in a V2 distribution: Treatment with nadolol


Dalhousie Medicine New Brunswick, Saint John, New Brunswick, Canada

Correspondence Address:
Mariah Giberson
Dalhousie Medicine New Brunswick, 100 Tucker Park Road, PO Box 5050, Saint John, New Brunswick, E2L4L5
Canada
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2249-4863.152272

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Infantile hemangiomas are common benign tumours of infancy affecting up to 10% of children. They are typically not present at birth but undergo a rapid proliferation stage and then plateau in growth before resolving spontaneously. Recently, beta-blockers have been favoured over systemic corticosteroids for treatment of disfiguring or life-threatening infantile hemangiomas. We present a case of an 11-week-old female with a 7 week history of an evolving hemangioma along a facial V2 distribution. Physical exam revealed a well-defined bright red plaque over the right zygoma and lower eyelid. MRI, echocardiograph, and liver ultrasound were normal. Patient was treated with nadolol and had a rapid and substantial regression of the hemangioma. Nadolol is an effective treatment option for disfiguring facial infantile hemangioma. The use of beta-blockers as treatment offers clues into the pathogenesis of infantile hemangioma, which is not yet completely understood


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