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Local steroid therapy in cutaneous hemangiomas
A N Gangopadhyay1, S P Sharma, S C Gopal
1Division of Pediatric Surgery and Plastic Surgery, Banaras Hindu University, Varanasi.
Objectives:
To evaluate the efficacy of intralesional triamcinolone in enhancing regression in various type of hemangiomas.
Setting:
Outpatients department of a teaching hospital Subjects: One hundred and five patients with rapidly growing surface hemangioma. The age ranged from 1 month to 15 months (mean 7 months).
Intervention:
Intralesional triamcinolone administered at monthly intervals, ranging from single injection to 7 injections (mean 3.6 injections).
Main Outcome Measure:
Regression of the hemangioma.
Results:
The overall response rate was 88.6% (excellent 51.4%, and good 37.2%). Maximum response was observed in children below 1 year of age (> 90%), lesions over the face (92.8%) and strawberry hemangiomas (99.9%).
Conclusion:
Intralesional administration of triamcinolone devoid of systemic side effects and an effective initial modality for rapidly growing hermangiomas.