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[Propranolol: Treatment of capillary hemangioma with orbital involvement]
R Salazar-Murillo1, S García-Pacheco, M J González-Blanco
1Servicio de Oftalmología, Unidad de Oftalmo-pediatría, Complexo Hospitalario Universitario de Vigo (CHUVI), Hospital Xeral-Cíes, Vigo, España. rosalboci@hotmail.com
Insights
Oral propranolol effectively treated a rapidly growing facial hemangioma in an infant. The treatment led to significant hemangioma reduction and resolved orbital and eyelid involvement without side effects, showing promise for similar cases.
Area of Science:
- Ophthalmology
- Pediatrics
- Dermatology
Background:
- Infantile hemangiomas are common vascular tumors.
- Facial hemangiomas can cause significant visual impairment and cosmetic concerns.
- Treatment options for infantile hemangiomas have evolved.
Clinical Case:
A 2-months-old girl had a fast growth hemangioma in the left side of the face, that involved upper eyelid and superior and external portion of the orbit, covering her visual axis and pushing the eye and lateral rectus muscle. We gave oral propranolol as treatment and we noticed a fast and constant hemangioma reduction and resolution of orbital and palpebral component.
Discussion:
According to previous researches, propranolol seems to be an effective and safe drug to treat capillary hemangioma. In our case, response to propranolol was satisfactory and with no side effects. This treatment should be considered as a promising alternative.
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