Rapid response with good toleration of sirolimus for life‐threatening neonatal lymphatic malformations

Autor: Shixiao Dong, Li Li, Jiaosheng Xu, Zhonglong Han, Xia Zheng
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Pediatric Investigation, Vol 7, Iss 3, Pp 206-211 (2023)
Druh dokumentu: article
ISSN: 2574-2272
DOI: 10.1002/ped4.12397
Popis: ABSTRACT Introduction Lymphatic malformations (LMs) are rare vascular anomalies predominantly affecting infants, which can be debilitating or life‐threatening when complicated with intralesional bleeding or infection. Effective and safe management strategies are essential in such cases. Case presentation We report a case series involving four Chinese neonates with life‐threatening LMs, initially treated with oral sirolimus. All patients achieved rapid relief and sustained remission, using a lower sirolimus dosage than previously recommended. Furthermore, adverse events were rarely recorded during follow‐up. Conclusion Sirolimus can be considered a promising choice for neonates with intricate and life‐threatening LMs. Initiation with a reduced sirolimus dose is advisable.
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