Frontiers in Oncology (Nov 2022)

Case report: Deterioration of infantile hemangioma related to oral or nebulized administration of β2-AR agonist: Three cases reports

  • Qiang Chen,
  • Qiang Chen,
  • Yunxuan Zhang,
  • Chenyu Sun,
  • Li Liu,
  • Xiaoyan Luo,
  • Hua Wang,
  • Sili Ni

DOI
https://doi.org/10.3389/fonc.2022.1000099
Journal volume & issue
Vol. 12

Abstract

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Infantile hemangioma (IH) is a benign vascular tumor, characterized by a unique sequence of non-linear growth and spontaneous involution. Some hemangiomas require intensive treatment to avoid functional and aesthetic insufficiency. Although β-adrenergic receptor (β-AR) antagonists have been increasingly used as the first-line treatment since 2008, the IH rebound still exists with uncertain mechanism. Here, we report three cases of abrupt IH deteriorations that are mainly related to β2-AR agonist administration. Potential IH proliferation induced by β2-AR agonists, especially from oral or nebulized approaches, should be recognized more widely by healthcare providers. Additionally, it is necessary to carry out large sample studies to analyze the influence of β2-AR agonist administration on the deterioration of IH.

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