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Therapy of ulcerated hemangiomas
Catherine C McCuaig1, Lynn Cohen, Julie Powell
1Department of Family Medicine, McGill University, Canada. catherine_mccuaig@sss.gouv.qc.ca
Journal of Cutaneous Medicine and Surgery
|July 3, 2013
Summary
Treating ulcerated infantile hemangiomas (IHs) often requires combination therapy. Effective treatments include wound care, pain management, pulsed dye laser, antibiotics, and systemic therapies like propranolol.
Area of Science:
- Pediatric Dermatology
- Dermatology
- Pediatrics
Background:
- Cutaneous ulceration is the most frequent complication of infantile hemangiomas (IHs).
- IHs are common vascular tumors in infants.
- Ulceration significantly impacts infant quality of life.
Purpose of the Study:
- To compare effective treatments for ulcerated IHs based on clinical experience and literature review.
- To identify optimal therapeutic strategies for managing IH ulcerations.
- To provide evidence-based recommendations for pediatric dermatology practice.
Main Methods:
- Retrospective chart review of 169 ulcerated IH cases at a tertiary pediatric hospital.
- Comprehensive literature review of IH ulceration treatments.
- Analysis of treatment modalities and their efficacy.
Main Results:
- Combination therapy was utilized in most cases.
- Local wound care was essential for all patients.
- Key interventions included pain management (72%), pulsed dye laser (42%), infection control (38%), and systemic therapy (36%).
Conclusions:
- Ulcerated IHs generally respond well to local barrier creams or dressings.
- Pulsed dye laser, antibiotics, topical agents, and systemic therapy (especially propranolol) are beneficial.
- Systemic therapy, particularly propranolol, is crucial for hemangioma size reduction.
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