Successful treatment of infantile haemangioma with propranolol.

We report the case of a 4-monthold baby with a large infantile haemangioma of the left shoulder treated successfully with systemic propranolol. Therapy results were documented by photography. The baby was treated for 4 weeks with oral propranolol with a dosage of 8 mg/day. There was a significant change in colour from dark red to a lighter shade of red and partially even to skin colour. No side-effects occurred during the therapy. Clear guidelines for betablocker treatment for infantile haemangiomas are necessary. Beta blockers seem to be the treatment of choice in paediatric haemangioma.