Infantile hemangiomas screening modalities for primary care physicians

Infantile hemangiomas are the most common benign vascular tumors in children. They present a characteristic natural history of spontaneous involution after a phase of initial proliferation. A small but significant minority demonstrates incomplete regression or complications and requires prompt intervention. Prediction of the evolution of infantile hemangiomas is challenging because of their morphological and behavioral heterogeneity. The decision between referral for treatment and observation is sometimes difficult, especially among non-expert physicians, with the risk of missing the period for optimizing outcomes in case of delayed intervention. The aim of this review is to update our knowledge, especially of the primary care providers, regarding the ongoing difficulties of the early clinical evaluation of infantile hemangiomas, and to outline the importance of current practical scoring tools for the identification of the lesions which require expert consultation and referral.

Automated summary

Infantile hemangiomas are common benign vascular tumors in children that often undergo spontaneous regression but can also result in complications. Predicting their evolution is challenging due to their heterogeneity. This review highlights the difficulties in early clinical evaluation, particularly for primary care providers, and emphasizes the importance of practical scoring tools for referral and consultation.