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SHR Neuro Cancer Cardio Lipid Metab Microb

Haxhija, EQ; Lackner, H; Höllwarth, ME.
Medical treatment of children with hemangiomas and its limitations
Handchir Mikrochir Plast Chir. 2009; 41(2): 78-82. Doi: 10.1055/s-2008-1038772
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Leading authors Med Uni Graz
Haxhija Emir
Co-authors Med Uni Graz
Höllwarth Michael
Lackner Herwig
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Abstract:
Children with disfiguring and/or life-threatening hemangiomas need medical treatment. Initial therapy comprises the oral administration of prednisolone in a dosage between 2-3 mg/kg/day. In cases of insufficient response to prednisolone the therapy may be extended by additional subcutaneous administration of interferon-alpha in a dosage between 1-3 million U/m(2)/day. However, due to the possible serious side effects of interferon-alpha, such as irreversible spastic diplegia, this therapy must be accompanied by close and meticulous neurological examinations of the treated children. The chemotherapeutic substance vincristine has nowadays become an alternative to interferon-alpha for life-threatening hemangiomas. The substance proved effective in a dosage of 0.05 mg/kg for children less than 10 kg and 1.5 mg/kg for children more than 10 kg given weekly strictly intravenously. In worst-case scenarios, a successful disease control has been achieved by intravenous administration of cyclophosphamide in a dosage of 10 mg/kg/day given on 3 consecutive days. Medical treatment of children with life-threatening hemangiomas still remains challenging for all involved persons and should always be performed in specialised centres.
Find related publications in this database (using NLM MeSH Indexing)
Administration, Oral -
Anti-Inflammatory Agents - therapeutic use
Antineoplastic Agents - adverse effects
Child -
Child, Preschool -
Combined Modality Therapy -
Cyclophosphamide - adverse effects
Dose-Response Relationship, Drug -
Drug Administration Schedule -
Drug Therapy, Combination -
Hemangioma - drug therapy
Humans -
Immunologic Factors - adverse effects
Infant -
Infant, Newborn -
Infusions, Intravenous -
Injections, Subcutaneous -
Interferon-alpha - adverse effects
Prednisone - adverse effects
Skin Neoplasms - drug therapy
Soft Tissue Neoplasms - drug therapy
Vincristine - adverse effects

Find related publications in this database (Keywords)
hemangioma
treatment
drugs
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