Diagnosis and Management of Infantile Hemangioma

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21. Viswanathan M, Ansari MT, Berkman ND, et al. Assessing the Risk of Bias of Individual Studies in Systematic Reviews of Health Care Interventions. Methods Guide for Effectiveness and Comparative Effectiveness Reviews. Rockville (MD); 2008. 22. Wells G, Shea B, O'Connell D, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Available at http://www.ohri.ca/programs/clinical_epide miology/oxford.asp. 23. Whiting PF, Rutjes AW, Westwood ME, et al. QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med 2011 Oct 18;155(8):529-36. PMID: 22007046. 24. McMaster Centre for Evidence-based Practice. McMaster Quality Assessment Scale of Harms (McHarm) for primary studies. Hamilton ON: McMaster University; 2008. 25. Methods Guide for Effectiveness and Comparative Effectiveness Reviews. AHRQ Publication No. 10(14)-EHC063-EF. Rockville, MD: Agency for Healthcare Research and Quality. January 2014. Chapters available at: www.effectivehealthcare.ahrq.gov. 26. Drolet BA, Chamlin SL, Garzon MC, et al. Prospective study of spinal anomalies in children with infantile hemangiomas of the lumbosacral skin. J Pediatr 2010 Nov;157(5):789-94. PMID: 20828712. 27. Kassarjian A, Zurakowski D, Dubois J, et al. Infantile hepatic hemangiomas: clinical and imaging findings and their correlation with therapy. AJR Am J Roentgenol 2004 Mar;182(3):785-95. PMID: 14975986. 28. Léauté-Labrèze C, Hoeger P, Mazereeuw- Hautier J, et al. A randomized, controlled trial of oral propranolol in infantile hemangioma. N Engl J Med 2015;372(8):735-46. PMID: 25693013. 29. Chambers CB, Katowitz WR, Katowitz JA, et al. A controlled study of topical 0.25% timolol maleate gel for the treatment of cutaneous infantile capillary hemangiomas. Ophthal Plast Reconstr Surg 2012 Mar- Apr;28(2):103-6. PMID: 22410658. 30. Mawn LA. Infantile hemangioma: treatment with surgery or steroids. Am Orthopt J 2013;63:6-13. PMID: 24260801. 31. Bauman NM, McCarter RJ, Guzzetta PC, et al. Propranolol vs prednisolone for symptomatic proliferating infantile hemangiomas: a randomized clinical trial. JAMA Otolaryngol Head Neck Surg 2014 Apr;140(4):323-30. PMID: 24526257. 32. Zaher H, Rasheed H, Esmat S, et al. Propranolol and infantile hemangiomas: different routes of administration, a randomized clinical trial. Eur J Dermatol 2013 Sep-Oct;23(5):646-52. PMID: 24135427. 33. Chan H, McKay C, Adams S, et al. RCT of timolol maleate gel for superficial infantile hemangiomas in 5- to 24-week-olds. Pediatrics 2013 Jun;131(6):e1739-47. PMID: 23650294. 34. De Graaf M, Araphael M, Breugem C, et al. Treatment of infantile hemangiomas with atenolol or propranolol: Cohort study with historical control group. European Journal of Pediatric Dermatology 2012 March;22 (1):12. PMID: 70795379. 35. de Graaf M, Raphael MF, Breugem CC, et al. Treatment of infantile haemangiomas with atenolol: comparison with a historical propranolol group. J Plast Reconstr Aesthet Surg 2013 Dec;66(12):1732-40. PMID: 24011909. 36. Sondhi V, Patnaik SK. Propranolol for infantile hemangioma (PINCH): an openlabel trial to assess the efficacy of propranolol for treating infantile hemangiomas and for determining the decline in heart rate to predict response to propranolol. J Pediatr Hematol Oncol 2013 Oct;35(7):493-9. PMID: 23929318. 37. Reddy KK, Blei F, Brauer JA, et al. Retrospective study of the treatment of infantile hemangiomas using a combination of propranolol and pulsed dye laser. Dermatol Surg 2013 Jun;39(6):923-33. PMID: 23458381. 38. Awadein A, Fakhry MA. Evaluation of intralesional propranolol for periocular capillary hemangioma. Clin Ophthalmol 2011;5(1):1135-40. PMID: 2011458331. ES-34
39. Yu L, Li S, Su B, et al. Treatment of superficial infantile hemangiomas with timolol: Evaluation of short-term efficacy and safety in infants. Exp Ther Med 2013 August;6(2):388-90. PMID: 2013417689. 40. Drolet BA, Frommelt PC, Chamlin SL, et al. Initiation and use of propranolol for infantile hemangioma: report of a consensus conference. Pediatrics 2013 Jan;131(1):128- 40. PMID: 23266923. ES-35
Page 1 and 2: Comparative Effectiveness Review Nu
Page 3 and 4: This report is based on research co
Page 5 and 6: Acknowledgments The authors gratefu
Page 7 and 8: Peer Reviewers Prior to publication
Page 9 and 10: BCI; moderate SOE for effects of pr
Page 11 and 12: Overview of the Literature ........
Page 13 and 14: Executive Summary Introduction Infa
Page 15 and 16: for contextual questions as few eff
Page 17 and 18: Figure B. Analytic framework for KQ
Page 19 and 20: Table A. Inclusion criteria (contin
Page 21 and 22: precision (precise, imprecise), and
Page 23 and 24: Figure D. Estimates of expected IH
Page 25 and 26: majority of studies to date have in
Page 27 and 28: effectiveness outcomes. The evidenc
Page 29 and 30: changes. We considered the strength
Page 31 and 32: Table C. Summary of evidence in stu
Page 37 and 38: Table D. Summary of evidence in stu
Page 39 and 40: Applicability We set inclusion crit
Page 41 and 42: quantitative meta-analyses. Researc
Page 43 and 44: surgically. Lesion characteristics
Page 45: References 1. Wassef M, Blei F, Ada
Page 49 and 50: modalities. The questions of imagin
Page 51 and 52: KQ2. Among newborns, infants, and c
Page 53 and 54: of data, and compiling evidence. We
Page 55 and 56: We only included studies published
Page 57 and 58: a standardized form (Appendix B) th
Page 59 and 60: Determining Quality Ratings • We
Page 61 and 62: Results We present results for Cont
Page 63 and 64: defects, urogenital anomalies, ulce
Page 65 and 66: Results of Literature Searches for
Page 67 and 68: Table 3. Characteristics of include
Page 69 and 70: scans, had a sensitivity of 20 perc
Page 71 and 72: of the model fit to all studies, bu
Page 73 and 74: Detailed Analysis Effectiveness of
Page 75 and 76: Table 6. Key resolution outcomes in
Page 77 and 78: with prednisolone included endocrin
Page 79 and 80: children in 8 studies), skin atroph
Page 81 and 82: hypopigmentation, impaired wound he
Page 83 and 84: fair quality for effectiveness outc
Page 85 and 86: studies of nadolol and atenolol. No
Page 87 and 88: Table 10. Key resolution outcomes i
Page 89 and 90: old. 100 Thirty percent of children
Page 91 and 92: Table 11. Resolution outcomes in st
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Table 15. Key outcomes in studies c
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Table 16. Resolution outcomes in st
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Table 19. Key resolution outcomes i
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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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Nd:YAG Laser With Cooling Compared
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long term follow information was av
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Discussion State of the Literature
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Table 34. Strength of evidence for
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Effectiveness and Harms of Beta-Blo
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older children. One comparative stu
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case series reporting on rarer pres
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agents is critical, especially as u
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References 1. Wassef M, Blei F, Ada
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39. Chen TS, Eichenfield LF, Friedl
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80. Mai HM, Zheng JW, Wang YA, et a
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119. Sharma LK, Dalal SS. Corticost
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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
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Abbreviations and Acronyms Used in
Page 171 and 172:
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
Page 189 and 190:
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:
Page 201 and 202:
436. Liu HC, Chang MH, Lue HC, et a
Page 203 and 204:
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
Page 225 and 226:
968. Thompson DN, Taylor WF, Haywar
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1013. Gregg CM, Wiatrak BJ, Koopman
Page 229 and 230:
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
Page 289 and 290:
2327. Czernik A, Bystryn JC. Does i
Page 291 and 292:
2368. Kamida T, Takeda Y, Fujiki M,
Page 293 and 294:
2410. Rodgers B, Zeim S, Crawford B
Page 295 and 296:
2453. Zolkipli Z, Aylett S, Rankin
Page 297 and 298:
2495. Egberts F, Mentzel T, Leuschn
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2537. Kutluhan A, Bozdemir K, Ugras
Page 301 and 302:
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
Page 317 and 318:
2910. Kazim SF, Bhatti, Enam SA. In
Page 319 and 320:
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
Page 341 and 342:
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
Page 347 and 348:
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,
Page 359 and 360:
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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