EFFECTIVENESS OF FIXED DOSES OF PROPRANOLOL IN THE TREATMENT OF HEMANGIOMAS REGARDLESS OF CHILD'S WEIGHT GAIN: A CASE

Jaime Anger1, Eduardo Mesquita de Oliveira1, José Gabel2

  • 1Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

Insights

Fixed-dose propranolol tablets effectively treated infant hemangiomas. Maintaining a consistent dose, despite weight changes, led to significant improvement and remission, avoiding rebound effects.

Area of Science:

  • Pediatric dermatology
  • Pharmacology

Background:

  • Infantile hemangiomas are common benign vascular tumors.
  • Treatment options for infantile hemangiomas have evolved.
  • Propranolol is a key medication for treating problematic hemangiomas.

Observation:

  • Two infants under six months received fixed-dose propranolol therapy.
  • Tablets were crushed and diluted due to lack of oral solution.
  • Dosage was not adjusted for weight gain.

Findings:

  • Both patients showed significant improvement within 60 days.
  • Complete remission was achieved by the end of treatment.
  • Fixed dosing, without weight adjustment, proved effective.

Implications:

  • Fixed-dose propranolol tablets can be a viable treatment option.
  • This method may help prevent rebound effects and complications.
  • Further research into fixed-dose propranolol for hemangiomas is warranted.
Abstract

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