Funding sources None.
Factors associated with the relapse of infantile haemangiomas in children treated with oral propranolol
Article first published online: 2 DEC 2013
© 2013 British Association of Dermatologists
British Journal of Dermatology
Volume 169, Issue 6, pages 1252–1256, December 2013
How to Cite
Ahogo, C.K., Ezzedine, K., Prey, S., Colona, V., Diallo, A., Boralevi, F., Taïeb, A. and Léauté-Labrèze, C. (2013), Factors associated with the relapse of infantile haemangiomas in children treated with oral propranolol. British Journal of Dermatology, 169: 1252–1256. doi: 10.1111/bjd.12432
Conflicts of interest None declared.
- Issue published online: 2 DEC 2013
- Article first published online: 2 DEC 2013
- Accepted manuscript online: 11 MAY 2013 02:03AM EST
- Manuscript Accepted: 5 MAY 2013
Although propranolol has become the first-line therapy for infantile haemangiomas (IHs), no study has yet investigated factors associated with the risk of relapse in children with IH treated with propranolol after cessation of treatment.
To compare factors associated with the risk of relapse in children with IH treated with oral propranolol.
We conducted a single-centre retrospective observational study. All files and photographs of patients with IH aged 5 months or less at the time of treatment initiation, and who were seen between 1 June 2008 and 31 December 2011 at the National Reference Center for rare skin diseases of Bordeaux, were retrospectively reviewed.
In total 158 children were included, of whom 118 had not relapsed and 40 had relapsed. Fifty-two patients were boys and 106 were girls (male : female ratio 1 : 2), and 19 had a segmental IH (12%). When conducting multivariate analysis, only IHs with a deep component and those with segmental distribution were independently associated with relapse.
Our study shows that segmental IHs, as well as haemangiomas with a deeper component, are more at risk of relapse and should thus indicate closer follow-up after treatment interruption, and/or longer treatment.