Treatment with propranolol for infantile hemangiomas: single-center experience.

Abstract:

BACKGROUND:Infantile hemangiomas (IHs) are the most common soft tissue tumors of infancy. Although spontaneous regression is expected, medical treatment is needed in approximately 10-20% of cases. AIMS:We aimed to assess the safety and efficacy of systemic propranolol for the treatment of IH. PATIENTS/METHODS:Medical records of 34 eligible patients were analyzed retrospectively. RESULTS:Treatment indications were local complications (hemorrhage, ulceration) in 38.2% of patients, cosmetic risk and face deformity in 35.3%, life-threatening organ dysfunction in 17.6%, and impending visual impairment in 8.8%. The median age at start of treatment with propranolol was 3.5 months (range, 2-65 months). The median duration of propranolol treatment was 8 months (3-12). Response was graded as excellent (>75% improvement) in 30 patients (88.2%) and good (50-75% improvement) in 3 (8.9%). Recurrence was not observed after termination of treatment. None of our patients showed severe side effects at the beginning of or during the treatment. CONCLUSIONS:Propranolol is a well-tolerated, efficacious, and safe drug for treatment of IH. It can be initiated and administered in the outpatient setting. Our report supports the excellent effect and good tolerance of this novel therapy, and we propose the use of propranolol as first-line treatment for IH.

journal_name

J Cosmet Dermatol

authors

Turhan AB,Bör Ö,Özdemir ZC

doi

10.1111/jocd.12220

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

296-302

issue

3

eissn

1473-2130

issn

1473-2165

journal_volume

15

pub_type

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