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Published on: April 28, 2023
[Effect of propranolol gel on infantile hemangiomas]
Ya-Nan Zhai1, Hong-Tao Song, Shao-Quan Chen
1Department of General Surgery, Fuzhou General Hospital of Nanjing Military Command, Fuzhou 350025, China.
Insights
Topical propranolol hydrochloride 3% gel effectively treats infantile hemangiomas, particularly superficial types. This treatment offers a promising therapeutic option for improving hemangioma outcomes.
Area of Science:
- Dermatology
- Pediatrics
- Pharmacology
Context:
- Infantile hemangiomas (IHs) are common vascular tumors in infants.
- Treatment options for IHs have evolved, with a focus on non-invasive methods.
- Propranolol has emerged as a key therapeutic agent for IHs.
Purpose:
- To assess the efficacy and safety of propranolol hydrochloride 3% gel for treating infantile hemangiomas.
- To evaluate treatment response based on size, texture, color, and blood flow.
- To determine if superficial hemangiomas respond differently to topical propranolol.
Summary:
- A study involving 51 infants with hemangiomas treated with propranolol hydrochloride 3% gel.
- Treatment outcomes were evaluated using the Achauer system, with significant improvement observed in most patients.
- Superficial hemangiomas showed a significantly better response to the gel compared to other types.
Impact:
- Topical propranolol hydrochloride 3% gel represents an effective and potentially safer alternative for managing infantile hemangiomas.
- The findings support the use of this gel, especially for superficial IHs, potentially reducing the need for systemic therapy.
- This research contributes to the understanding of localized treatment strategies for pediatric vascular anomalies.
Objective:
To evaluate the efficacy and security of propranolol gel in treatment of Infantile hemangiomas.
Methods:
51 consecutive infants with hemangiomas from October 2010 to September 2011 in Department of General Surgery Fuzhou General Hospital of Nanjing Military Command were treated with propranolol hydrochloride 3% gel. Changes in hemangioma size, texture, color, tumor blood flow peak were recorded.
Results:
The results were evaluated using Achauer system, responses of IHs to propranolol were considered scale I (poor) in 4 patient (17.24%), scale II (moderate) in 18 patients (24.14%), scale III (good) in 22 patients (44.83%) and scale IV (excellent) in 7 patients (13.79%). The response of superficial hemangiomas was significantly better than other hemangiomas (P < 0.05), and no significant differences in response among different primary sites (P > 0.05).
Conclusions:
Topical use of propranolol hydrochloride 3% gel is an effective option for superficial hemangiomas.
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