Ulcerated hemangiomas: clinical features and management.

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dc.contributor.authorWananukul, Siriwanen_US
dc.contributor.authorChatproedprai, Susheeraen_US
dc.date.accessioned2009-05-27T19:34:02Z
dc.date.available2009-05-27T19:34:02Z
dc.date.issued2002-11-28en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractHemangioma is the most common tumor of infancy and ulceration is the most frequent complication of hemangioma. The purpose of this report was to review the clinical features and management of ulcerated hemangioma. A retrospective study of ulcerated hemangioma at the outpatient pediatric dermatology clinic, King Chulalongkorn Memorial Hospital from 1992 to 2001 was performed. The medical records of 41 patients were reviewed. Twenty-eight females and 13 males were seen with a female/male ratio of 2.2: 1. Superficial hemangioma was the most common type (51%). Head and neck were the most frequently involved sites, affecting 21 cases (51%). Ulcerated hemangiomas were found on extremities, torso, and perineum of 9 patients (22%), 6 patients (15%) and 5 patients (12%), respectively. Ulceration was developed at a mean age of 3.9 months (range, 1-7 months). Conventional treatment with topical and/or systemic antibiotic was successfully used in 19 patients (46%). Oral prednisolone was used in 4 patients with large hemangiomas. The mean duration of treatment with oral prednisolone was 12 months. Flashlamp-pumped pulsed-dye laser (FPDL) was used in 16 patients who failed topical and/or systemic antibiotic. Fifteen patients (94%) healed within 1 to 3 treatments. Excision was done on a small superficial hemangioma on the cheek. In conclusion, head and neck were the most common sites of ulcerated hemangioma. Topical antibiotics and/or systemic antibiotics could be used as the first-line management of ulcerated hemangioma. FPDL was very effective in the treatment of ulcerated hemangioma.en_US
dc.description.affiliationDepartment of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.en_US
dc.identifier.citationWananukul S, Chatproedprai S. Ulcerated hemangiomas: clinical features and management. Journal of the Medical Association of Thailand. 2002 Nov; 85(11): 1220-5en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/41373
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdministration, Oralen_US
dc.subject.meshAdministration, Topicalen_US
dc.subject.meshAdrenal Cortex Hormones --administration & dosageen_US
dc.subject.meshAnti-Bacterial Agents --administration & dosageen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHemangioma --epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshIncidenceen_US
dc.subject.meshInfanten_US
dc.subject.meshInfant, Newbornen_US
dc.subject.meshLaser Coagulation --methodsen_US
dc.subject.meshMaleen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshSeverity of Illness Indexen_US
dc.subject.meshSex Distributionen_US
dc.subject.meshSkin Neoplasms --epidemiologyen_US
dc.subject.meshSkin Ulcer --epidemiologyen_US
dc.subject.meshThailand --epidemiologyen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleUlcerated hemangiomas: clinical features and management.en_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
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