Propranolol treatment of infantile hemangioma (IH) is not associated with developmental risk or growth impairment at age 4 years.

Abstract:

BACKGROUND:Long-term adverse effects of propranolol treatment for infantile hemangioma (IH) in young children have been suggested. OBJECTIVE:To compare growth and development in children treated with propranolol for IH with nontreated healthy controls. METHODS:Eighty two (73%) children with IH aged 43 to 51 months treated with propranolol for 6 months or longer, and without other developmental risk factors, were recruited (cases) and matched with 4 twin counterparts and 78 children from a community-based cohort (control subjects). Parents completed the 48-months Ages and Stages Questionnaire (ASQ). Percentages of children with abnormal ASQ results were compared using χ(2) analyses. Mean ASQ scores and growth were compared using Mann-Whitney U tests. RESULTS:Six (7.3%) cases had abnormal ASQ results, compared with 10 (12.2%) controls (P = .292). Mean ASQ total score (25th-75th percentile) was 52.9 (50.8-57.0) for cases and 51.9 (49.0-56.0) for controls (P = .383). Height and weight of cases and controls were comparable. LIMITATIONS:A parent-completed screening instrument was used. The exclusion of children born at gestational age less than 36 weeks and/or children born small for gestational age partly limits generalizability. CONCLUSION:We found no increased developmental risk or growth impairment at age 4 years in patients with IH treated with propranolol.

journal_name

J Am Acad Dermatol

authors

Moyakine AV,Kerstjens JM,Spillekom-van Koulil S,van der Vleuten CJ

doi

10.1016/j.jaad.2016.02.1218

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

59-63.e1

issue

1

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(16)01483-3

journal_volume

75

pub_type

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