Diagnosis and Management of Infantile Hemangioma

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Abbreviations and Acronyms Used in This Report AHRQ BCI CER CI cm CO2 CT CQ EPC G HAS HR IH IQR IV kg KQ LUMBAR mg mL Mm MRI n NA Nd:YAG NR NS OR OSD PDL PELVIS PHACES PICOTS QoL RCT SD SOE TEP TSA Agency for Healthcare Research and Quality Bayesian Credible Interval Comparative Effectiveness Review Confidence Interval Centimeters Carbon Dioxide Computed Tomography Contextual Questions Evidence-based Practice Center Group Hemangioma Activity Score Hazard Ratio Infantile Hemangioma Interquartile Range Intravenous Kilograms Key Questions Lower-body hemangioma and other cutaneous defects, Urogenital anomalies, Ulceration, Myelopathy, Bony deformities, Anorectal malformations, Arterial anomalies, and Renal anomalies Milligrams Milliliters Millimeters Magnetic Resonance Imaging Number Not Applicable Neodymium Yttrium Aluminum Garnet Not Reported Not Significant Odds ratio Occult Spinal Dysraphism Pulsed Dye Laser Perineal hemangioma, External genitalia malformations, Lipomyelomeningocele, Vesicorenal abnormalities, Imperforate anus, and Skin tag Posterior fossa malformations, Hemangiomas, Arterial anomalies, Cardiac defects, Eye abnormalities, Sternal cleft and supraumbilical raphe Population, Interventions, Outcomes, Timing, and Setting Quality of Life Randomized, Controlled Trial Standard Deviation Strength of Evidence Technical Expert Panel Total Surface Area 122
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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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scans, had a sensitivity of 20 perc
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of the model fit to all studies, bu
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Detailed Analysis Effectiveness of
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Table 6. Key resolution outcomes in
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with prednisolone included endocrin
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children in 8 studies), skin atroph
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hypopigmentation, impaired wound he
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fair quality for effectiveness outc
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studies of nadolol and atenolol. No
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Table 10. Key resolution outcomes i
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old. 100 Thirty percent of children
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Table 11. Resolution outcomes in st
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Table 15. Key outcomes in studies c
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Table 22. Harms/adverse effects in
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Table 24. Adverse effects in case s
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Table 24. Adverse effects in case s
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• In two RCTs reporting level of
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Page 117 and 118: Table 26. Key resolution outcomes i
Page 119 and 120: Nd:YAG Laser With Cooling Compared
Page 121 and 122: Table 30. Key resolution outcomes i
Page 123 and 124: long term follow information was av
Page 125 and 126: Discussion State of the Literature
Page 127 and 128: Table 34. Strength of evidence for
Page 131 and 132: Effectiveness and Harms of Beta-Blo
Page 149 and 150: older children. One comparative stu
Page 151 and 152: case series reporting on rarer pres
Page 153 and 154: agents is critical, especially as u
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: 237. Healy G, McGill T, Friedman EM
Page 171 and 172: Appendix A. Search Strategies Searc
Page 173 and 174: Searches for Comparative Effectiven
Page 175 and 176: Appendix B. Screening and Quality A
Page 177 and 178: Harms Risk of Bias Assessment Form
Page 179 and 180: QUADAS Diagnostic Accuracy Rating T
Page 181 and 182: Infantile Hemangioma CER: Risk of B
Page 183 and 184: 20. Grundfest-Broniatowski S, Carey
Page 185 and 186: 65. Dachman AH, Lichtenstein JE, Fr
Page 187 and 188: 111. Yoshida T, Kuratomi K, Mitsuma
Page 189 and 190: 160. Newman SL, Goodwin CD. Colonic
Page 191 and 192: 204. Crockett DM, Healy GB, McGill
Page 193 and 194: 253. Wright GL, Smith RJ, Katz CD,
Page 195 and 196: 301. Paley D, Jackson RW. Synovial
Page 197 and 198: 346. Dombrowski MP, Budev H, Wolfe
Page 199 and 200: 390. Stringel G. Giant hemangioma:
Page 201 and 202: 436. Liu HC, Chang MH, Lue HC, et a
Page 203 and 204: 480. Casale AJ, Menashe DS. Massive
Page 205 and 206: 526. Taylor RS, Joseph DB, Kohaut E
Page 207 and 208: 571. Goldstein MH. The elastic flap
Page 209 and 210: 614. Salloum E, Flamant F, Caillaud
Page 211 and 212: 659. Fellows KE, Hoffer FA, Markowi
Page 213 and 214: 706. Weatherford DA, Abrams RS, Wal
Page 215 and 216: 749. Keleti D, Flickinger JC, Hobso
Page 217 and 218: 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
Page 431 and 432:
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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