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Treatment of ulcerated haemangiomas with a non-coherent pulsed light source: brief initial clinical report
Beatriz Fernández Jorge1, Jesús Del Pozo, Iria Castiñeiras
1Department of Dermatology, Hospital Juan Canalejo, A Coruña, Spain. beafjorge@hotmaiol.com
Background:
Ulceration is the most common complication of infantile haemangiomas and constitutes an authentic therapeutic challenge because of associated pain, infection, haemorrhage and subsequent scarring.
Objective:
To report our experience with an intense pulsed light (IPL) system in the treatment of ulcerated haemangiomas.
Methods:
Case 1: A 4-month-old girl, with haemangioma affecting the entire cutaneous surface of the left limb, developed four ulcerations on the inner aspect of this extremity. Two sessions with an IPL system using a triple pulse mode, a 570-nm lower cut-off filter and a fluence of 38 J/cm2 were performed. Case 2: A 5-month-old girl with ulcerated labial haemangioma that previously failed to respond to intralesional corticoids was treated with an IPL system device. Three sessions using a triple pulse mode with a 570-nm lower cut-off filter and a fluence of 48 J/cm2 were realized.
Results:
Good results were rapidly obtained after two and four sessions of IPL treatment, respectively. Pain was soon relieved and complete epithelization was obtained by between 1 and 2 months in both patients.
Conclusion:
Although our experience is rare, we believe that IPL devices may be an effective alternative treatment of ulcerated haemangiomas.