skip to main content

Infantile Haemangioma Natural History — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

EasyDermatologyInfantile Haemangioma Natural HistoryRACP Paediatrics

A 2-year-old presents with a rapidly growing, bright red, well-circumscribed vascular lesion on the cheek that first appeared at 3 weeks of age. It has been growing for 8 months and is now stable. What is the natural history?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Spontaneous involution over 3-10 years

Infantile haemangiomas follow a predictable course: proliferative phase (birth to 12 months), plateau, then gradual involution (over 3-10 years). Most resolve without treatment. Beta-blocker therapy (propranolol) is indicated for complicated haemangiomas (airway, visual axis, ulceration, hepatic) or disfiguring facial lesions.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Vascular Anomalies