Spanish consensus on infantile haemangioma

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• 作者：Eulalia Baselga Torres^a ; ^{ebaselga@dermik.es" class="auth_mail" title="E-mail the corresponding author} ; Jos&eacute ; Bernab&eacute ; u Wittel^b ; Diego L. van Esso Arbolave^c ; Marí ; a Isabel Febrer Bosch^d ; Á ; ngel Carrasco Sanz^e ; Raú ; l de Lucas Laguna^f ; Jesú ; s del Pozo Losada^g ; Á ; ngela Herná ; ndez Martí ; n^h ; Lorenzo Jim&eacute ; nez Montañ ; &eacute ; sⁱ ; Juan Carlos Ló ; pez Guti&eacute ; rrez^j ; Ana Martí ; n-Santiago^k ; Pedro Redondo Belló ; n^l ; Juan Ruí ; z-Canela Cá ; ceres^m ; Antonio Torrelo Ferná ; ndez^h ; Á ; ngel Vera Casañ ; oⁿ ; Marí ; a Asunció ; n Vicente Villa^o
• 关键词：Haemangioma/diagnosis ; Haemangioma/drug therapy ; Haemangioma/complications ; Haemangioma/classification ; Propranolol ; Infant ; Algorithms
• 刊名：Anales de Pediatría (English Edition)
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：85
• 期：5
• 页码：256-265
• 全文大小：1354 K

文摘

Infantile haemangiomas are benign tumours produced by the proliferation of endothelial cells of blood vessels, with a high incidence in children under the age of one year (4–10%). It is estimated that 12% of them require treatment. This treatment must be administered according to clinical practice guidelines, expert experience, patient characteristics and parent preferences.

Methods

The consensus process was performed by using scientific evidence on the diagnosis and treatment of infantile haemangiomas, culled from a systematic review of the literature, together with specialist expert opinions. The recommendations issued were validated by the specialists, who also provided their level of agreement.

Results

This document contains recommendations on the classification, associations, complications, diagnosis, treatment, and follow-up of patients with infantile haemangioma. It also includes action algorithms, and addresses multidisciplinary management and referral criteria between the different specialities involved in the clinical management of this type of patient.

Conclusions

The recommendations and the diagnostic and therapeutic algorithms of infantile haemangiomas contained in this document are a useful tool for the proper management of these patients.