For a study, researchers sought to understand that infantile hemangioma (IH) has an aesthetic side effect. The American Academy of Pediatrics Clinical Practice Guideline supported early therapy with propranolol for big, high-risk lesions. However, pulsed dye laser (PDL) was employed to treat small, low-risk lesions because there weren’t many treatment options for these lesions. Therefore, investigators tried to look at the effects of PDL on little IH lesions. A retrospective analysis was performed on 53 examples with 58 mild IHs that did not meet the guidelines’ definition of high-risk lesions and was merely managed with PDL. They assessed IH characteristics and lingering skin alterations following treatment. While 11 lesions (19.0%) were of the mixed type, 47 lesions (81.0%) were superficial hemangiomas. In the median, the largest diameter measured 10.0 mm. After PDL therapy, 45 lesions (77.6%) contained a variety of persistent skin alterations, including anetoderma (53.5%), telangiectasia, erythema (43.1%), hyperpigmentation (34.5%), redundant skin (3.4%), and fibrofatty tissue (3.4%). In this case, the combined group performed much better than the superficial group in terms of fibrofatty tissue and anetoderma (P=.036 and .033, respectively). Even minor lesions, especially combined-type lesions, may result in cosmetic problems after PDL therapy.

Source: journals.lww.com/dermatologicsurgery/Abstract/2022/08000/Clinical_Outcomes_of_Small_Infantile_Hemangiomas.7.aspx