Delayed ulceration following combination pulse dye laser and topical sirolimus treatment for port wine birthmarks: A case series.

capillary malformation port wine birthmark pulsed dye laser sirolimus ulcer vascular malformation

Journal

Pediatric dermatology
ISSN: 1525-1470
Titre abrégé: Pediatr Dermatol
Pays: United States
ID NLM: 8406799

Informations de publication

Date de publication:
12 Aug 2023
Historique:
received: 23 05 2023
accepted: 22 07 2023
medline: 12 8 2023
pubmed: 12 8 2023
entrez: 12 8 2023
Statut: aheadofprint

Résumé

Port wine birthmarks (PWB) are capillary vascular malformations within the papillary and reticular dermis, most commonly occurring on the head and neck and may darken and thicken with age. Pulsed dye laser (PDL) is the gold standard of treatment for PWB as it selectively targets involved vessels. Sirolimus is a macrolide antibiotic that selectively inhibits mammalian target of rapamycin, thereby suppressing the angiogenesis pathways that can be activated by PDL. Sirolimus and PDL may be used together to treat PWB. We present a case series describing three cases of delayed ulceration and systemic sirolimus absorption following combination therapy, highlighting a potential complication and patient safety concern.

Identifiants

pubmed: 37571864
doi: 10.1111/pde.15409
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023 Wiley Periodicals LLC.

Références

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Auteurs

Catherine Grace P Hobayan (CGP)

College of Medicine, The Ohio State University, Columbus, Ohio, USA.

Elizabeth J Nourse (EJ)

Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, USA.

Michela M Paradiso (MM)

Department of Dermatology, The Ohio State University, Columbus, Ohio, USA.

Esteban Fernandez Faith (E)

Division of Pediatric Dermatology, Nationwide Children's Hospital and College of Medicine, The Ohio State University, Columbus, Ohio, USA.

Classifications MeSH