Propranolol-resistant infantile haemangiomas

Br J Dermatol. 2013 Jul;169(1):125-9. doi: 10.1111/bjd.12417.

Abstract

Background: Propranolol is now widely used to treat severe infantile haemangiomas (IHs). Very few cases of propranolol-resistant IH (PRIH) are mentioned in the literature.

Objectives: To describe the characteristics of PRIHs.

Methods: 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.

Results: 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.

Conclusions: PRIH is a rare phenomenon that raises questions and merits further investigation.

Publication types

  • Multicenter Study
  • Observational Study

MeSH terms

  • Age of Onset
  • Antineoplastic Agents / therapeutic use*
  • Child, Preschool
  • Drug Resistance, Neoplasm
  • Facial Neoplasms / drug therapy*
  • Female
  • Hemangioma / drug therapy*
  • Humans
  • Infant
  • Male
  • Orbital Neoplasms / drug therapy*
  • Propranolol / therapeutic use*
  • Retrospective Studies
  • Skin Neoplasms / drug therapy*

Substances

  • Antineoplastic Agents
  • Propranolol