Propranolol-resistant infantile haemangiomas.

Caussé, S; Aubert, H; Saint-Jean, M; Puzenat, E; Bursztejn, A-C; Eschard, C; Mahé, E; Maruani, A et al. · Br J Dermatol · 2013

retrospective_cohort · Level III

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Abstract

Propranolol is now widely used to treat severe infantile haemangiomas (IHs). Very few cases of propranolol-resistant IH (PRIH) are mentioned in the literature. To describe the characteristics of PRIHs. A national, multicentre, retrospective, observational study was conducted from February 2011 to December 2011. All patients with PRIH evaluated by the members of the Groupe de Recherche Clinique en Dermatologie Pédiatrique from 1 January 2007 to 1 December 2011 were eligible. Among 1130 patients treated with propranolol for infantile haemangioma, 10 (0.9%) had PRIHs. Haemangioma propranolol resistance was observed at all ages during early childhood and at any proliferation stage. PRIH is a rare phenomenon that raises questions and merits further investigation.

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