Local steroid therapy in cutaneous hemangiomas.

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.