Intralesional triamcinolone injection in the management of cutaneous hemangiomas in children

Abstract EN

Background : Infantile hemangiomas are the most common vascular tumors in children.

Various approaches have been advocated in the management of hemangiomas.

This study was designed to evaluate the efficacy and safety of intraregional triamcinolone injection in the treatment of hemangiomas.

Patients and methods : all patients studied regarding the age, number of lesions, presence of any complications, site and size of lesion and the percentage of regression after treatment with steroid.

The patients were treated with local injection of diluted triamcinolone (40 mg) with 5 ml normal saline in a dose of 3–5 mg / kg.

The injection was given every 4–6 weeks.

The number of injections varied from two to six.

Results : the response was excellent (more than 75% regression in size) in 10 patients (42 %), good (50-75 % regression in size) in 6 patients (25 %), poor (25-50 % regression in size) in 5 patients (21 %) and no response (less than 25 % regression in size or no response at all) was seen in 3 patients (12 %).

Conclusion : intraregional injection of triamcinolone is a safe and effective treatment of hemangiomas.

To get optimum response, it should be used in patients below one year of age.