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Published on: August 8, 2025
Pain management for ulcerated infantile hemangiomas
1Department of Dermatology, University of New Mexico, Albuquerque, New Mexico 87131, USA.
An over-the-counter topical sealant combined with corticosteroid therapy effectively treated perioral ulcerated hemangiomas in an infant. This approach rapidly improved pain and feeding tolerance, leading to ulcer healing.
Area of Science:
- Pediatric Dermatology
- Neonatal Care
- Vascular Anomalies
Background:
- Perioral ulcerated hemangiomas in infants pose significant clinical challenges, often causing pain and feeding difficulties.
- Current treatments may not fully alleviate symptoms while awaiting ulcer healing.
Observation:
- A case study involving an infant with a painful, ulcerated lip hemangioma and feeding intolerance.
- The infant experienced severe pain and difficulty feeding due to the lesion.
Findings:
- The infant was treated with a combination of an over-the-counter topical sealant and systemic corticosteroid therapy.
- This combined treatment resulted in a dramatic improvement in pain and feeding tolerance.
- The topical sealant and corticosteroids promoted the healing of the ulcerated hemangioma.
Implications:
- This case suggests a novel, accessible therapeutic approach for managing challenging perioral ulcerated hemangiomas in infants.
- The combination therapy offers a potentially rapid solution for pain and feeding issues, improving infant outcomes.
- Further research into topical sealants for vascular lesions is warranted.
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