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    Top five treatment mainstays: Ulcerated pediatric hemangiomas

    Managing pain and complications

    A key element to managing ulcerated pediatric hemangiomas is managing pain, as well as responding to possible complications like bleeding and infection, according to an Assistant Professor in the Department of Pediatrics at the University of Toronto in Toronto, Canada.

    Up to 10% of newborns develop hemangiomas, which are the most common vascular tumours in children. Eighty percent of hemangioma size is achieved during its early proliferative stage at a mean age of three months.1

    Classifications and clinical signs

    Irene Lara-Corrales M.D., M.Sc.Hemangiomas are classified as either superficial, deep or mixed, notes Irene Lara-Corrales M.D., M.Sc., a staff pediatric dermatologist at the Hospital for Sick Children in Toronto, speaking at the Canadian pediatric wound care symposium.

    A minority of hemangiomas ulcerate. In cases where they do ulcerate, they present earlier to a pediatric dermatologist compared to cases where they do not.2

    One of the clinical signs of potential ulceration of a hemangioma is white discoloration, said Dr. Lara-Corrales. A study3 suggests that early white discoloration of infantile hemangioma is indicative of an elevated risk for the development of ulceration. Conversely, the absence of substantial white discoloration early in infancy suggests a low risk of ulceration.

    Some sites, such as the lower lip, neck, and anogenital regions, put hemangiomas at greater risk of ulceration. Mixed hemangiomas and segmental hemangiomas are also more likely to ulcerate.2

    NEXT: Treatment mainstays


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