较高剂量的口服普罗普兰诺洛尔对于耐药的婴儿血瘤
Isabelle Dreyfus1, Charlène Dénos2, Olivia Boccara3
1Reference Center for rare diseases of the skin, CHU Toulouse Larrey, Toulouse, France. dreyfus.i@chu-toulouse.fr.
Acta dermato-venereologica
|January 23, 2026
概括
较高的普拉诺洛尔剂量显示出对抗普拉诺洛尔的婴儿血瘤 (PRIH) 的承诺. 增加剂量 (> 3 mg/kg/day) 在40%的PRIH病例中是有效的,并且观察到良好的耐受性.
科学领域:
- 皮肤病学 皮肤病学
- 儿科 儿科 儿科
- 药理学 药理学是指药理学的学科.
背景情况:
- 婴儿血瘤 (IH) 是婴儿常见的良性血管瘤.
- 甲醇是第一线治疗,但有些病例具有抗药性 (PRIH).
- 管理PRIH仍然是一个临床挑战.
研究的目的:
- 为了调查PRIH的模式.
- 为了评估更高的兰醇剂量 (> 3 mg/kg/天) 的疗效和安全性.
- 为了确定对增加兰醇剂量反应的预测因素.
主要方法:
- 国家多中心回顾性观察性研究.
- 包括接受兰醇>3毫克/公斤/天的PRIH患者.
- 对治疗模式,反应率,耐受性和预测因素的分析.
主要成果:
- 包括15名PRIH患者 (0.45%的患病率),主要是患有大病变的女性.
- 确定了三个PRIH模式:面部细分 (47%),面部局部化与皮下部件 (40%) 和身体局部化混合/ (13%).
- 40%的PRIH对更高的普拉诺洛尔剂量 (3.75-4毫克/公斤/天) 有反应,耐受性良好,除了一例严重的低血压外.
结论:
- 较高的propranolol剂量 (> 3 mg/kg/day) 是PRIH的潜在治疗选择.
- 预测反应的因素包括特定的IH分类和先前治疗的持续时间.
- 需要进一步的研究来优化PRIH的治疗策略.
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