HEMANGIOMAS INFANTILES: HALLAZGOS CLINICOS Y TRATAMIENTO CON ESPECIAL REFERENCIA A LA TERAPIA CON METILPREDNISOLONA A DOSIS ALTAS

HEMANGIOMAS INFANTILES: HALLAZGOS CLINICOS Y TRATAMIENTO CON ESPECIAL REFERENCIA A LA TERAPIA CON METILPREDNISOLONA A DOSIS ALTAS

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En esta reseña, la autora analiza las características biológicas y clínicas de los hemangiomas infantiles, así como el diagnóstico, las complicaciones y las opciones terapéuticas.
uysal.jpg Autor:
Kamer Mutafoglu Uysal
Columnista Experto de SIIC
Artículos publicados por Kamer Mutafoglu Uysal
Recepción del artículo
29 de Septiembre, 2003
Primera edición
12 de Marzo, 2004
Segunda edición, ampliada y corregida
7 de Junio, 2021

Resumen
Los hemangiomas son los tumores más frecuentes en la infancia. Sin embargo, hay muchos interrogantes acerca de la patogénesis y políticas de tratamiento razonables que aún permanecen sin respuesta. Si bien la mayoría de los hemangiomas involucionan espontáneamente y no requieren terapia, aproximadamente el 10% se complica y necesita una actitud intervencionista. Los corticoides sistémicos constituyen la base del tratamiento, desde hace aproximadamente 40 años, cuando la terapia sistémica está indicada. No obstante, las recomendaciones acerca del régimen óptimo corticosteroide varían ampliamente. El propósito de este artículo es analizar las características biológicas y clínicas de los hemangiomas infantiles, así como presentar algunas opciones terapéuticas, especialmente la terapia corticosteroide sistémica con dosis altas, para estas lesiones.

Palabras clave
Hemangioma infantil, terapia corticosteroide


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Abstract
Hemangiomas are the most common tumor of infancy, yet many questions about the pathogenesis and rational treatment policies still remain unanswered. Although a vast majority of hemangiomas involute spontaneously and require no therapy, approximately 10% of hemangiomas become problematic and need intervention. When systemic therapy is indicated, systemic corticosteroids have remained the mainstay of therapy for nearly 40 years. However, recommendations on optimal corticosteroid regimen vary widely. The purpose of this article is to review the biological and clinical characteristics of infantile hemangiomas as well as to present some of the therapeutic options, with a focus on high-dose systemic corticosteroid therapy for the management of these lesions.

Key words
Hemangioma infantil, terapia corticosteroide


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Especialidades
Principal: Pediatría
Relacionadas: Anatomía Patológica, Cirugía, Farmacología, Hematología, Oncología



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Bibliografía del artículo
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