Faculty of Medicine, Academy of Silesia in Katowice, Zabrze, Poland.
Bogomolets Clinic, Kyiv, Ukraine.
Telemed J E Health. 2024 Mar;30(3):881-884. doi: 10.1089/tmj.2023.0338. Epub 2023 Aug 31.
Infantile hemangiomas (IH) exacerbated by ulceration invariably necessitate hospitalization, although simple IHs are sometimes managed remotely. Furthermore, according to international regulations, β-blocker medication for such hemangiomas should be systemic and performed in a clinic, especially if there is infection and risk of bleeding. War in Ukraine made it impossible to hospitalize and properly examine a patient with a complex ulcerated and infected IH, forcing us to administer β-blocker timolol therapy only through telemedicine. Our case demonstrates the possibility of successful distant treatment of IH with ulcer using only a topical β-blocker carried out remotely through telemedicine, which is critical in the context of the COVID-19 pandemic, war, hostilities, or natural disasters where inpatient treatment is not available.
婴幼儿血管瘤(IH)合并溃疡者通常需要住院治疗,尽管有时也可远程管理简单的 IH。此外,根据国际规定,此类血管瘤的β受体阻滞剂药物治疗应采用全身性治疗,并在诊所进行,尤其是当存在感染和出血风险时。由于乌克兰战争,我们无法对一名患有复杂溃疡和感染性 IH 的患者进行住院治疗和适当检查,迫使我们只能通过远程医疗来给予β受体阻滞剂噻吗洛尔治疗。我们的病例证明了仅通过远程医疗使用局部β受体阻滞剂成功治疗溃疡性 IH 的可能性,这在 COVID-19 大流行、战争、敌对行动或自然灾害期间非常重要,因为在这些情况下无法提供住院治疗。