Jorge Beatriz Fernández, Del Pozo Jesús, Castiñeiras Iria, Mazaira Marta, Fernández-Torres Rosa, Fonseca Eduardo
Department of Dermatology, Hospital Juan Canalejo, A Coruña, Spain.
J Cosmet Laser Ther. 2008 Mar;10(1):48-51. doi: 10.1080/14764170701846907.
Ulceration is the most common complication of infantile haemangiomas and constitutes an authentic therapeutic challenge because of associated pain, infection, haemorrhage and subsequent scarring.
To report our experience with an intense pulsed light (IPL) system in the treatment of ulcerated haemangiomas.
Case 1: A 4-month-old girl, with haemangioma affecting the entire cutaneous surface of the left limb, developed four ulcerations on the inner aspect of this extremity. Two sessions with an IPL system using a triple pulse mode, a 570-nm lower cut-off filter and a fluence of 38 J/cm2 were performed. Case 2: A 5-month-old girl with ulcerated labial haemangioma that previously failed to respond to intralesional corticoids was treated with an IPL system device. Three sessions using a triple pulse mode with a 570-nm lower cut-off filter and a fluence of 48 J/cm2 were realized.
Good results were rapidly obtained after two and four sessions of IPL treatment, respectively. Pain was soon relieved and complete epithelization was obtained by between 1 and 2 months in both patients.
Although our experience is rare, we believe that IPL devices may be an effective alternative treatment of ulcerated haemangiomas.
溃疡是婴幼儿血管瘤最常见的并发症，由于伴有疼痛、感染、出血及后续瘢痕形成，构成了一项切实的治疗挑战。
报告我们使用强脉冲光（IPL）系统治疗溃疡型血管瘤的经验。
病例1：一名4个月大女童，左侧肢体整个皮肤表面患有血管瘤，该肢体内侧出现4处溃疡。使用IPL系统进行了2次治疗，采用三脉冲模式、570nm截止滤光片，能量密度为38J/cm²。病例2：一名5个月大女童，唇部溃疡型血管瘤，先前病灶内注射皮质类固醇无效，使用IPL系统设备进行治疗。采用三脉冲模式、570nm截止滤光片，能量密度为48J/cm²，进行了3次治疗。
分别在IPL治疗2次和4次后迅速取得了良好效果。两名患者的疼痛很快缓解，1至2个月内均实现了完全上皮化。
尽管我们的经验有限，但我们认为IPL设备可能是治疗溃疡型血管瘤的一种有效替代方法。
