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Propranolol: useful therapeutic agent for the treatment of ulcerated infantile hemangiomas
Lawrence H C Kim1, Marcia Hogeling2, Orli Wargon2
1Department of Pediatric Surgery, Sydney Children's Hospital, Randwick, New South Wales, Australia.
Insights
Oral propranolol effectively treats ulcerated infantile hemangiomas (IH), the most common childhood vascular tumor. This treatment offers a promising first-line approach for managing this frequent and challenging complication.
Area of Science:
- Pediatric Oncology
- Dermatology
- Vascular Biology
Background:
- Infantile hemangioma (IH) is the most common vascular tumor in infants.
- Ulceration is a frequent and difficult-to-manage complication of IH.
Observation:
- Six cases of ulcerated infantile hemangioma were treated at a pediatric center.
- All cases demonstrated positive response to oral propranolol therapy.
Findings:
- Oral propranolol treatment led to resolution of ulcerated IH within 2 to 6 weeks.
- The medication was effective in managing this common complication.
Implications:
- Oral propranolol should be considered as a first-line treatment for ulcerated infantile hemangioma.
- This approach may improve patient outcomes and reduce treatment challenges.
Abstract:
Infantile hemangioma (IH) is the most common vascular tumor in early childhood. Ulceration is the most frequent complication, and its management can be challenging. We present 6 cases of ulcerated IH at a single pediatric center, which responded to oral propranolol within 2 to 6 weeks. We recommend that oral propranolol therapy be considered for the management of ulcerated IH as first-line treatment.
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