Management of Ulcerated Deep Hemangiomas

Hemangiomas are proliferating vascular harmatomas that can be superficial or deep. The natural history of hemangiomas includes proliferative, stationary, and involutional phases. Most cases resolve with minimal sequelae. During the rapid growth phase, hemagiomas may ulcerate. Therapy includes daily local wound care, topical antibiotics, and systemic steroids. Our patient failed to improve with this therapy, and was taken to the operating room for surgical debridement and vascular dye laser treatment of the ulcerated lesions showing good response. The vascular dye laser should be considered in the treatment of ulcerated hemagiomas.