4.3 Article

Propranolol for the treatment of infantile hemangiomas: a nine-year monocentric experience from a tertiary hospital

Journal

EUROPEAN JOURNAL OF DERMATOLOGY
Volume 33, Issue 3, Pages 265-269

Publisher

JOHN LIBBEY EUROTEXT LTD
DOI: 10.1684/ejd.2023.4484

Keywords

hemangioma treatment; infantile hemangiomas; oral propranolol; Pediatric population; systemic treatment; vascular neoplasms

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This retrospective observational study evaluated the efficacy of oral propranolol in 44 patients with infantile hemangiomas. The study found that 90.7% of cases achieved complete remission with a mean improvement in severity of 94.94%. Propranolol showed high efficacy in terms of safety profile and cosmetic results. Prematurity and precocious therapy may be associated with a better response.
BackgroundPropranolol is currently considered the first-line therapy for problematic infantile hemangiomas (IH), the most common benign vascular neoplasm of infancy.ObjectivesWe present a retrospective observational study aimed at assessing the efficacy of propranolol in 44 IH patients.Materials & MethodsA nine-year retrospective review considering clinicodemographical and therapy-related variables was performed on medical records of infants treated for IH with oral propranolol. Each lesion was assessed through a numeric severity score based on size and colour both at baseline and after treatment conclusion (p <0.05 was considered statistically significant).ResultsComplete remission was achieved in 90.7% cases of IH with a general mean improvement in severity of 94.94%. No severe adverse effects were reported. Preterm patients showed a superior response compared to term infants, even though the difference was not significant (p=0.185).ConclusionPropranolol showed high efficacy in terms of safety profile and cosmetic results. Prematurity and precocious therapy could be linked to a superior response.

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