Propranolol for treatment of infantile hemangiomas
A 5-month-old boy born at term was referred to our clinic with a left arm hemangioma\nof 8.0 x 6.0 cm, presenting a lateral ulceration measuring 1.0 x 1.0 cm (). Despite management with gentamicin\nointment dressings, the ulceration failed to heal. One month later it became larger\nand started to bleed, causing pain and discomfort to the infant (). Propranolol was initiated at the age of 6 months and\nthere was a significant reduction in size of the ulcer within a week. Seven months\nlater, the deep component was much reduced and the superficial part healed (). It is planned to wean off propranolol\nwhen the child is at least 1 year and 6 months of age.