Servicio de Neonatología, Hospital Universitario Materno-Infantil La Fe, Valencia, Spain.
Acta Paediatr. 2010 Feb;99(2):311-5. doi: 10.1111/j.1651-2227.2009.00466.x.
Diffuse neonatal haemangiomatosis (DNH) is an uncommon condition characterized by multiple cutaneous and visceral haemangiomas frequently causing severe complications. Corticosteroids constitute the first therapeutic line; however, when they fail, other alternatives are available, provided possible side effects are closely monitored during and after treatment. We present a case of life-threatening DNH, non-responsive to corticosteroids, successfully treated with Vincristine with minor side effects. We conclude that Vincristine is a valid alternative in corticosteroid-resistant DNH.
弥漫性新生儿血管瘤病(DNH)是一种罕见的疾病,其特征是多发性皮肤和内脏血管瘤,常导致严重并发症。皮质类固醇是一线治疗方法;然而,当它们失败时,还有其他替代方案可用,但在治疗期间和治疗后需要密切监测可能的副作用。我们报告了一例对皮质类固醇无反应的危及生命的 DNH,成功地用长春新碱治疗,副作用较小。我们得出结论,长春新碱是一种有效的皮质类固醇耐药 DNH 的替代方案。