Frontiers in Pediatrics (Jul 2020)

Early Adjuvant Medication With the mTOR Inhibitor Sirolimus in a Preterm Neonate With Compressive Cystic Lymphatic Malformation

  • Marion Honnorat,
  • Loïc Viremouneix,
  • Loïc Viremouneix,
  • Sonia Ayari,
  • Laurent Guibaud,
  • Laurent Guibaud,
  • Karen Coste,
  • Karen Coste,
  • Olivier Claris,
  • Olivier Claris,
  • Marine Butin,
  • Marine Butin

DOI
https://doi.org/10.3389/fped.2020.00418
Journal volume & issue
Vol. 8

Abstract

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Cystic lymphatic malformations result from an abnormal embryological development of the lymphatic structures. Here we report on a case of a preterm female baby, born at 34 weeks of gestation, with a voluminous cervicofacial cystic lymphatic malformation responsible for an airway obstruction. An mTOR inhibitor, sirolimus, was started from the first day of life, and was combined with iterative sclerotherapy procedures. This case illustrates a safe and successful early administration of sirolimus in a preterm neonate.

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