ULCERATIVE INFANTILE HEMANGIOMA – IS THERE AN ALTERNATIVE TO PROPRANOLOL?
Keywords:hemangioma, topical treatment, timolol, beta-blocker, child
Introduction:Infantile hemangiomas (IH) affect nearly 5% of caucasian children, being ulceration their main complication. In the last years, systemic or topical beta-blockers became the first-line treatment of IH. However, controversy remains about the use of topical timolol in complicated IH.
Case report:A six-month-old child was referred to our General Pediatrics outpatient clinic with an ulcerative, erythematous and painful lesion located at the lumbar region. Soft tissue ultrasound confirmed the diagnosis of hemangiomatous tumefaction (31x19x20mm), with extension to muscular groups. Treatment with topical timolol 0.5% (eye drops) was started; three months later there was a complete healing of ulcerative region of IH, whose size remained stable.
Conclusion: The authors highlight the potential use of timolol in ulcerative IH. In the present case it proved to be effective, and without adverse effects.
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