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Propranolol intervention therapy for infants with facial hemangioma
Jian Meng1, Zhiping Li, Qianping Gu
1Department of Dentistry, Central Hospital of Xuzhou City, China.
Insights
Small doses of propranolol effectively treat infantile facial hemangioma in infants. This treatment shows a 100% effective rate with minimal side effects, making it a safe and convenient option.
Area of Science:
- Pediatric Dermatology
- Pharmacology
Background:
- Infantile facial hemangioma is a common vascular tumor in infants.
- The proliferation stage requires effective and safe treatment interventions.
Purpose of the Study:
- To evaluate the clinical efficacy of low-dose propranolol for infantile facial hemangioma.
- To assess the adverse effects associated with this treatment in infants.
Main Methods:
- A cohort of 22 infants with facial hemangioma received propranolol (1.0-1.5 mg/kg/day).
- Treatment efficacy and adverse events were monitored over 3-9 months post-discharge.
Main Results:
- Hemangioma color faded within 24 hours of propranolol administration.
- A 100% effective treatment rate was observed across all patients.
- Minor side effects, including slowed heart rate and transient diarrhea, were reported in some patients.
Conclusions:
- Low-dose propranolol is a safe and effective treatment for infantile facial hemangioma.
- The treatment offers convenience and minimal adverse effects.
- Propranolol represents a valuable therapeutic option for infants with proliferating hemangioma.
Aim Of The Study:
The current study aimed to evaluate the clinical efficacy and adverse effects of small doses of propranolol intervention therapy for infants with infantile facial hemangioma in the proliferation stage.
Material And Methods:
A total of 22 patients including 9 males and 13 females with an average age of 5.5 months were enrolled. These patients were diagnosed with facial hemangioma. During the first week of hospitalization, the patients were requested to take propranolol according to their weight (1.0 mg/kg to 1.5 mg/kg once daily). After hospital discharge, the patients were requested to take propranolol consistently and were reassessed every two weeks. We closely observed the process, recorded information about the size, color, and texture of the hemangioma, coped with the adverse effect during the treatment, and evaluated the clinical efficacy of propranolol.
Results:
The color of the hemangioma faded 24 h after taking propranolol. After 3 months to 9 months of observation, we obtained the following clinical efficacies: level I, 0; level II, 2; level III, 13; and level IV, 7. The effective rate was 100%. The heart rate of 22 patients became slower than before treatment, 2 patients had slight diarrhea that disappeared after treatment, and there was no serious adverse effect during the entire process.
Conclusions:
With the advantages of minor side effects, convenience, safety, and evident efficacy, the administration of small doses of propranolol is a good method for treating hemangioma in infants.
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