Management of infantile hemangiomas during the COVID pandemic.

Abstract:

:The COVID-19 pandemic has caused significant shifts in patient care including a steep decline in ambulatory visits and a marked increase in the use of telemedicine. Infantile hemangiomas (IH) can require urgent evaluation and risk stratification to determine which infants need treatment and which can be managed with continued observation. For those requiring treatment, prompt initiation decreases morbidity and improves long-term outcomes. The Hemangioma Investigator Group has created consensus recommendations for management of IH via telemedicine. FDA/EMA-approved monitoring guidelines, clinical practice guidelines, and relevant, up-to-date publications regarding initiation and monitoring of beta-blocker therapy were used to inform the recommendations. Clinical decision-making guidelines about when telehealth is an appropriate alternative to in-office visits, including medication initiation, dosage changes, and ongoing evaluation, are included. The importance of communication with caregivers in the context of telemedicine is discussed, and online resources for both hemangioma education and propranolol therapy are provided.

journal_name

Pediatr Dermatol

journal_title

Pediatric dermatology

authors

Frieden IJ,Püttgen KB,Drolet BA,Garzon MC,Chamlin SL,Pope E,Mancini AJ,Lauren CT,Mathes EF,Siegel DH,Gupta D,Haggstrom AN,Tollefson MM,Baselga E,Morel KD,Shah SD,Holland KE,Adams DM,Horii KA,Newell BD,Powell J,M

doi

10.1111/pde.14196

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

412-418

issue

3

eissn

0736-8046

issn

1525-1470

journal_volume

37

pub_type

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