RESUMEN
Caso clínico: Lactante de 2 meses con un hemangioma de crecimiento rápido en la hemicara izquierda, que afecta al párpado superior y la porción superoexterna de la órbita, obstaculizando el eje visual y desplazando medialmente el recto lateral y el globo ocular. Se administra propranolol oral y se observa una rápida y sostenida disminución del hemangioma, con regresión del componente órbito-palpebral. Discusión: Según estudios previos el propranolol parece ser un fármaco seguro y efectivo en el tratamiento del hemangioma infantil. En nuestro caso, la respuesta al propranolol fue satisfactoria y no se presentaron efectos adversos. Este tratamiento debe ser considerado como una alternativa promisoria(AU)
Clinical case: A 2-months-old girl had a fast growth hemangioma in the left side of the face, that involved upper eyelid and superior and external portion of the orbit, covering her visual axis and pushing the eye and lateral rectus muscle. We gave oral propranolol as treatment and we noticed a fast and constant hemangioma reduction and resolution of orbital and palpebral component. Discussion: According to previous researches, propranolol seems to be an effective and safe drug to treat capillary hemangioma. In our case, response to propranolol was satisfactory and with no side effects. This treatment should be considered as a promising alternative(AU)
Asunto(s)
Humanos , Propranolol/uso terapéutico , Hemangioma Capilar/tratamiento farmacológico , Neoplasias Orbitales/tratamiento farmacológico , Ambliopía/tratamiento farmacológico , Corticoesteroides/uso terapéuticoRESUMEN
CLINICAL CASE: A 2-months-old girl had a fast growth hemangioma in the left side of the face, that involved upper eyelid and superior and external portion of the orbit, covering her visual axis and pushing the eye and lateral rectus muscle. We gave oral propranolol as treatment and we noticed a fast and constant hemangioma reduction and resolution of orbital and palpebral component. DISCUSSION: According to previous researches, propranolol seems to be an effective and safe drug to treat capillary hemangioma. In our case, response to propranolol was satisfactory and with no side effects. This treatment should be considered as a promising alternative.
