Pain Management for Ulcerated Infantile Hemangiomas

:  Perioral ulcerated hemangiomas in infants can present a therapeutic challenge to clinicians, especially when associated with severe pain and difficulty feeding. Topical and oral pain medications can be beneficial, but feeding difficulties may still occur while awaiting healing of the ulceration w...

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Bibliographic Details
Published in:Pediatric dermatology 2012-01, Vol.29 (1), p.124-126
Main Authors: Strand, Megan, Smidt, Aimee C.
Format: Article
Language:English
Subjects:
Anti-Inflammatory Agents - therapeutic use
Carboxymethylcellulose Sodium - analogs & derivatives
Carboxymethylcellulose Sodium - therapeutic use
Drug Therapy, Combination
Female
Hemangioma - complications
Hemangioma - drug therapy
Hemangioma - pathology
Humans
Infant
Lip - pathology
Pain - drug therapy
Pain - etiology
Pain Management - methods
Prednisolone - therapeutic use
Skin Neoplasms - complications
Skin Neoplasms - drug therapy
Skin Neoplasms - pathology
Skin Ulcer - drug therapy
Skin Ulcer - etiology
Skin Ulcer - pathology
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Description
Summary::  Perioral ulcerated hemangiomas in infants can present a therapeutic challenge to clinicians, especially when associated with severe pain and difficulty feeding. Topical and oral pain medications can be beneficial, but feeding difficulties may still occur while awaiting healing of the ulceration with the use of systemic or topical agents. We present a case of an infant with an ulcerated lip hemangioma treated with an over‐the‐counter topical sealant in combination with systemic corticosteroid therapy who showed dramatic improvement in pain and tolerance to feeding, resulting in healing of the ulceration.
ISSN:0736-8046
1525-1470
DOI:10.1111/j.1525-1470.2011.01679.x