-Usually appear by 4 weeks of age and stop growing by 5 months of age.
-“As many as 70% leave residual skin changes, including telangiectasia, fibrofatty tissue, redundant skin, atrophy, dyspigmentation, and scarring.”
Treatment
Oral propranolol
Oral corticosteroids
Intralesional corticosteroids injections (for small, bulky, well-localized lesions in infants).
Laser therapy can treat early lesions or residual telangiectasia.
Once involution is complete, elective surgical excision is the treatment of choice and produces better outcomes.
Further Reading / Reference
Pediatrics 2015;136(4):786-791. Diagnosis and management of infantile hemangioma: Executive summary.
Am Fam Physician 2016;93(6):526-527. American Academy of Pediatrics releases report on infantile hemangiomas.