Current Approach to The Treatment of Infantile Hemangioma

Infantile hemangioma (IH) is the most common benign vascular tumor of the infantile period. Although the etiopathology of IH is not well-known, two primary theories exist. The most accepted theory suggests that maternal hypoxic stress leads to the production of hypoxia inducible factor-1 alpha (HIF-...

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Bibliographic Details
Main Authors: Aybüke Doğan, Emine Ecem Aydoğan, Hikmet Gülşah Tanyıldız
Format: Article
Language:English
Published: Istanbul University Press 2023-03-01
Series:Çocuk Dergisi
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Online Access:https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/8C6536A905D94F709742FE7E48353FC1
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Summary:Infantile hemangioma (IH) is the most common benign vascular tumor of the infantile period. Although the etiopathology of IH is not well-known, two primary theories exist. The most accepted theory suggests that maternal hypoxic stress leads to the production of hypoxia inducible factor-1 alpha (HIF-1a), which leads to an increased production of vascular endothelial growth factor (VEGF), GLUT-1, and insulin-like growth factor-2, which induces endothelial cell proliferation. The second theory suggests that endothelial cell proliferation is induced by embolization of placental tissue. Propranolol is a nonselective beta-adrenergic receptor blocker which is used in current mainstay therapy for IH. In this review, we aimed to discuss the efficacy and safety of propranolol in light of current data, including studies at the molecular level.
ISSN:1308-8491