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- Title
Prognostic Factors for Long-term Aesthetic Outcome of Infantile Haemangioma Treated with Beta-blockers.
- Authors
HERMANS, Mireille M.; PASMANS, Suzanne G. M. A.; DE GRAAF, Marlies; RAGAMIN, Aviël; MENDELS, Elodie J.; BREUR, Johannes M. P. J.; LANGEVELD, Hester R.; RAPHAEL, Martine F.; DE LAAT, Peter C. J.; DE WILDT, Saskia N.; RIETMAN, André B.; BREUGEM, Corstiaan C.; SCHAPPIN, Renske
- Abstract
Parents of infants treated with beta-blockers for infantile haemangioma are often concerned about the long-term aesthetic outcome. This cross-sectional study assessed the influence on the long-term aesthetic outcome of characteristics of the infantile haemangioma, the beta-blocker treatment, and the infant. The study included 103 children aged 6–12 years, treated with beta-blockers (propranolol or atenolol) for infantile haemangioma during infancy (age at treatment initiation ≤1 year) for ≥6 months. Dermatologists and parents scored the Patient Observer Scar Assessment Scale, and the child scored a visual analogue scale. Dermatologists identified whether telangiectasia, fibrofatty tissue, and atrophic scar tissue were present. The long-term aesthetic outcome of infantile haemangioma was judged more negatively by dermatologists and parents in case of a superficial component, ulceration, older age at treatment initiation, higher cumulative dose, and/or shorter follow-up time. According to children, infantile haemangioma located on the head had better aesthetic outcome than infantile haemangioma located elsewhere. Close monitoring, particularly of infantile haemangioma with a superficial component, is essential for early initiation of treatment, and to prevent or treat ulceration. These outcome data can support parental counselling and guide treatment strategy.
- Subjects
PROGNOSIS; ADRENERGIC beta blockers; PARENT-infant relationships; SCARS; AESTHETICS
- Publication
Acta Dermato-Venereologica, 2023, Vol 103, p1
- ISSN
0001-5555
- Publication type
Article
- DOI
10.2340/actadv.v103.5286