title: Treatment of complex infantile haemangioma in a resource-poor setting.
abstract: Infantile haemangiomas affect approximately 5% of the population and usually do not require treatment. However, complex cutaneous haemangiomas can cause disabling disfigurement, while haemangiomas in the brain, airway or gastrointestinal tract can cause life-threatening complications. Although children with infantile haemangiomas are often first brought to general practitioners and paediatricians by parents for care, they are thought of as a surgical problem and usually referred to specialty care. We present a case of an infant from a resource-poor setting in rural Indonesia with disfiguring facial haemangiomas, as well as a probable airway haemangioma causing stridor at rest. The infant was treated with oral propranolol with marked involution of the cutaneous haemangioma, resolution of stridor and increase in weight.
authors: Alam Sehat Lestari Clinic, West Kalimantan, Borneo, Indonesia.
authors: Ronald
authors: R
authors: Natawidjaja
authors: Division of Emergency Medicine, Stanford University School of Medicine, Stanford, California, USA.
authors: Ewen
authors: E
authors: Wang
mesh_terms: D000284:Administration, Oral; D000319:Adrenergic beta-Antagonists / Q000008:administration & dosage; D004305:Dose-Response Relationship, Drug; D005260:Female; D005500:Follow-Up Studies; D018324:Hemangioma, Capillary / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D007223:Infant; D011433:Propranolol / Q000008:administration & dosage*; D012878:Skin Neoplasms / Q000175:diagnosis / Q000628:therapy*; D019564:Unnecessary Procedures
chemical_list: D000319:Adrenergic beta-Antagonists; D011433:Propranolol