Summary
Two small neonates, one with hypoplastic right heart syndrome, and the other with tetralogy of Fallot and pulmonary atresia, were treated with intravenous prostaglandin E1 (Prostyn VR, Upjohn, Kalamazoo, Michigan) for 96 and 33 days, respectively. They developed limited cortical hyperostosis, but marked soft tissue swellings in all extremities. The changes were noted after PGE1 treatment for four weeks and one week, respectively. A skin biopsy was performed in one patient and revealed edematous changes and arteriolar wall abnormalities. We add this peripheral hard edema to the list of complications of PGE1 therapy, and speculate as to its pathophysiology.
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References
Caffey J (1978)Pediatric x-ray diagnosis, 7th edn. Year Book Medical Publishers, Chicago, pp 1430–1441
Guerich HH, Persigehl LHM, Hofstetter R, Von Bernuth G (1984) Widening of cranial sutures after long term prostaglandin E2 therapy in two newborn infants.J Pediatr 105:72–74
Haworth SG, Sauer U, Buhlmeyer K (1980) The effect of PGE1 on the pulmonary circulation in pulmonary atresia: morphologic study.Br Heart J 43:306–310
Lewis AB, Freed MD, Heymann MA, Roehl SL, Kensey RC (1981) Side effects of therapy with prostaglandin E1 in infants with critical congenital heart disease.Circulation 64:893–898
Shurman MS, Hellyer DT (1950) Infantile cortical hyperostosis. Review of literature and report of 5 cases.Am J Roentgenol 62:212–216
Ueda K, Saito A, Nakano H, Aoshima M, Yokota M, Iwaya T (1980) Cortical hyperostosis following long-term administration of PGE1 in infants with cyanotic congenital heart disease.J Pediatr 97:834–836
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Jureidini, S., Chase, N.A., Alpert, B.S. et al. Soft-tissue swelling in two neonates during prostaglandin E1 therapy. Pediatr Cardiol 7, 157–160 (1986). https://doi.org/10.1007/BF02424990
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DOI: https://doi.org/10.1007/BF02424990