Diagnosis and Management of Infantile Hemangioma

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Table 29. Key resolution outcomes in comparative studies of photothermolysis with intense pulsed light and cryosurgery Author, Age, Year Months Methods and Measures Location Resolution Outcomes Groups (n) of Resolution/Response Quality Type Ryzhevskiy et al. 219 G1: Selective photothermol ysis (87) G2: Cyrodestruction with liquid nitrogen (79) G3: Combination of selective photothermol ysis and sclerosis(84) Age mean (range) G1+G2: 9 (3 months to 4 years) Type, % Cutaneous G1+G2: 100 Quality: Poor G = group; NR = not reported G1+G2: multiple • Lesion area measured with graph paper. Change in depth confirmed by ultrasound • Cosmetic results after first treatment session: Good: 50% or more reduction in area; Satisfactory: 10-50% reduction; Unsatisfactory: < 10% or no positive dynamics • Evaluation blinding: NR Resolution after session 1, % Good G1: 35.6 G2: 22.8 G3: 71.4 Satisfactory G1: 44.8 G2: 46.8 G3: 23.8 Unsatisfactory G1: 19.5 G2: 30.4 G3: 4.8 Cryosurgery Versus No Treatment One study assessed cryosurgical treatment of IH in preterm infants with multiple IH by treating one IH lesion and not treating another. 220 Some children had more than one pair of treated/untreated lesions, and the study followed infants up to age 1 or 2 years. Thirteen of 17 treated IH and two of 17 untreated IH met the primary endpoint of intact, IH-free skin with mild or no pigmentation or scarring at 1 or 2 years of age (p
Table 30. Key resolution outcomes in comparative studies of cryosurgical therapy Author, Age, Methods and Year Months Location Measures of Resolution Outcomes Groups (n) Resolution/Response Quality Type Goelz et al. 2014 220 G1: nitrogencooled cryotherapy (13) G2: no treatment control (13) Quality: Poor Age NR (preterm infants) Type, % NR G1+G2: multiple NR Blinded assessment: NR Met primary endpoint, n IH (%) G1: 13/17 IH (76) G2: 2/17 (12) G1 vs G2: p
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Comparative Effectiveness Review Nu
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This report is based on research co
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Acknowledgments The authors gratefu
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Peer Reviewers Prior to publication
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BCI; moderate SOE for effects of pr
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Overview of the Literature ........
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Executive Summary Introduction Infa
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for contextual questions as few eff
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Figure B. Analytic framework for KQ
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Table A. Inclusion criteria (contin
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precision (precise, imprecise), and
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Figure D. Estimates of expected IH
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majority of studies to date have in
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effectiveness outcomes. The evidenc
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changes. We considered the strength
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Table C. Summary of evidence in stu
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Table D. Summary of evidence in stu
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Applicability We set inclusion crit
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quantitative meta-analyses. Researc
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surgically. Lesion characteristics
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References 1. Wassef M, Blei F, Ada
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39. Yu L, Li S, Su B, et al. Treatm
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modalities. The questions of imagin
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KQ2. Among newborns, infants, and c
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of data, and compiling evidence. We
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We only included studies published
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a standardized form (Appendix B) th
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Determining Quality Ratings • We
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Results We present results for Cont
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defects, urogenital anomalies, ulce
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Results of Literature Searches for
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Table 3. Characteristics of include
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Page 73 and 74: Detailed Analysis Effectiveness of
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Page 89 and 90: old. 100 Thirty percent of children
Page 91 and 92: Table 11. Resolution outcomes in st
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Page 113 and 114: • In two RCTs reporting level of
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Page 125 and 126: Discussion State of the Literature
Page 127 and 128: Table 34. Strength of evidence for
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Page 155 and 156: References 1. Wassef M, Blei F, Ada
Page 157 and 158: 39. Chen TS, Eichenfield LF, Friedl
Page 159 and 160: 80. Mai HM, Zheng JW, Wang YA, et a
Page 161 and 162: 119. Sharma LK, Dalal SS. Corticost
Page 163 and 164: 162. Snir M, Reich U, Siegel R, et
Page 165 and 166: 198. Chen ZG, Zheng JW, Yuan ML, et
Page 167 and 168: 237. Healy G, McGill T, Friedman EM
Page 169 and 170: Abbreviations and Acronyms Used in
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Appendix A. Search Strategies Searc
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Searches for Comparative Effectiven
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Appendix B. Screening and Quality A
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Harms Risk of Bias Assessment Form
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QUADAS Diagnostic Accuracy Rating T
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Infantile Hemangioma CER: Risk of B
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20. Grundfest-Broniatowski S, Carey
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65. Dachman AH, Lichtenstein JE, Fr
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111. Yoshida T, Kuratomi K, Mitsuma
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160. Newman SL, Goodwin CD. Colonic
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204. Crockett DM, Healy GB, McGill
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253. Wright GL, Smith RJ, Katz CD,
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301. Paley D, Jackson RW. Synovial
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346. Dombrowski MP, Budev H, Wolfe
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390. Stringel G. Giant hemangioma:
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436. Liu HC, Chang MH, Lue HC, et a
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480. Casale AJ, Menashe DS. Massive
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526. Taylor RS, Joseph DB, Kohaut E
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571. Goldstein MH. The elastic flap
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614. Salloum E, Flamant F, Caillaud
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659. Fellows KE, Hoffer FA, Markowi
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706. Weatherford DA, Abrams RS, Wal
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749. Keleti D, Flickinger JC, Hobso
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793. Van Campenhout I, Patriquin H.
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836. Goldman MP, Fitzpatrick RE, Ru
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880. Schulman SR, Jones BR, Slotnic
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924. Egawa H, Berquist W, Garcia-Ke
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968. Thompson DN, Taylor WF, Haywar
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1013. Gregg CM, Wiatrak BJ, Koopman
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1056. Rozylo TK, Krupski W, Galkows
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1099. Fremont S, Kanny G, Bieber S,
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1142. Sreeram N, Miller P, John P.
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1185. Enjolras O, Wassef M, Mazoyer
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1228. Paley MR, Farrant P, Kane P,
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1271. Burrows PE, Robertson RL, Mul
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1312. Lezama-del Valle P, Gerald WL
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1352. Altunay IK, Gokdemir G, Koken
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1394. Kiristioglu I, Kilic N, Gurpi
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1437. Yoshida D, Sugisaki Y, Shimur
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1480. Kreusel KM, Bechrakis NE, Hei
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1523. Wilken JJ, Meier FA, Kornstei
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1568. Garmendia G, Miranda N, Borro
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1610. Park EA, Seo JW, Lee SW, et a
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1652. Chatrath P, Black M, Jani P,
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1694. Hopf M, Hopf JUG, Rohde E, et
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1737. Rozylo-Kalinowska I, Brodzisz
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1782. Coras B, Hohenleutner U, Land
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1826. McQueen CT, Cullen RD. Endosc
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1866. Tsao MN, Schwartz ML, Bernste
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1909. Denier C, Labauge P, Brunerea
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1950. Mounayer C, Benndorf G, Bisdo
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1992. Woo SJ, Kim CJ, Yu YS. Cavern
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2036. Ersoy S, Mancini AJ. Hemifaci
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2077. Kronenberg A, Blei F, Ceisler
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2117. Sabharwal GK, Strouse PJ. Pos
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2159. Cannady SB, Kahn TA, Trabouls
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2200. Karikari IO, Selznick LA, Cum
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2241. Pienaar C, Graham R, Geldenhu
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2283. Wananukul S, Voramethkul W, N
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2327. Czernik A, Bystryn JC. Does i
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2368. Kamida T, Takeda Y, Fujiki M,
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2410. Rodgers B, Zeim S, Crawford B
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2453. Zolkipli Z, Aylett S, Rankin
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2495. Egberts F, Mentzel T, Leuschn
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2537. Kutluhan A, Bozdemir K, Ugras
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2580. Saetti R, Silvestrini M, Cutr
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2620. Yun TJ, Na DG, Kwon BJ, et al
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2661. Demirci H, Shields CL, Eagle
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2700. Iriz A, Durmaz E, Akmansu SH,
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2744. Ooi KG, Wenderoth JD, Francis
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2786. Tyzio R, Khalilov I, Represa
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2827. Bayliss SJ, Berk DR, Van Hare
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2869. Fernandez-Pineda I, Lopez-Gut
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2910. Kazim SF, Bhatti, Enam SA. In
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2953. Nonogaki S, Campos HGA, Butug
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2995. Storch CH, Hoeger PH. Propran
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3038. Al Dhaybi R, Superstein R, Mi
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3080. del Pozo J, Lopez-Gutierrez J
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3120. Guye E, Chollet-Rivier M, Sch
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3159. Kolokythas A, Al-Ghamian H, M
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3201. Nale P. Propranolol treatment
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3243. Soltani AM, Reinisch JF. Algo
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3286. . Derm Dx. Clinical Advisor.
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3326. Chang YT, Lin JY, Lee JY, et
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3367. Gross BC, Janus JR, Orvidas L
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3407. Kupeli S. Use of propranolol
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3448. Raches D, Hiscock M, Chapiesk
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3490. Traivaree C, Lumkul R, Torcha
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3532. Ammerman RT, Putnam FW, Altay
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3573. Chou S, Subramanian V, Lau HM
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3614. Hyland RM, Komlosi K, Alleman
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3655. Masetti R, Colecchia A, Ronde
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3693. Parikh SR, Darrow DH, Grimmer
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3732. Stiles JM, Amaya C, Rains S,
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3772. Zou HX, Jia J, Zhang WF, et a
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3813. Deng X, Wang K, Wu L, et al.
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3851. Khorsand K, Backus S, Sidbury
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3890. Phillips RJ, Lokmic Z, Crock
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3930. Weil AG, Bhatia S. Resection
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3969. Ravenscroft J. Management of
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where ΦΦ(xx) is the cumulative di
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Figure D-1. Estimates of expected I
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Figure D-3. Posterior SUCRA estimat
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Figure D-5. Network diagram of comp
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Appendix E. Study Design Classifica
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Author, Year Hogeling 2011 10 Alloc
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Author, Year Representativeness of
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Author, Year Were the harms predefi
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25. Qiu Y, Ma G, Yang J, et al. Imi
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56. Hassan BA, Shreef KS. Propranol
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88. Chakkittakandiyil A, Phillips R
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120. Pandey A, Gangopadhyay AN, Gop
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Appendix G. Applicability Tables Ta
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Appendix H. Harms Reported in Packa
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o Acquired (autoimmune) hemolytic a
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o Ankylosing spondylitis o Dermatom
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H-7 • Increased dosage of rapidly
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Elocon® (mometason e furoate) 11 T
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Timoptic® (timolol maleate) 15 Tim
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Harms Data for Medications Included
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Table H-3: Adverse Events from Flo-
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(
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thromboembolism, thrombophlebitis,
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grades): 103 (48%), erosion/ulcerat
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acute myocardial infarction: 3 (Rat
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Discontinuations Patients utilizing
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ocular irritation including blephar
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Diagnosis and Management of Infantile Hemangioma

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