Abstract
Only 1% of hemangiomas are in the anogenital region. Their main complication is ulceration due to the macerating influence of urine and stool. Ulcerated hemangiomas are painful, may become infected or cause systemic infection, and have a tendency to heal slowly. Prevention of ulceration is the most important aim in these cases. Active therapy with laser is possible, but may induce ulceration. Due to this serious side effect, a wait-and-see policy should be considered as an alternative. Ulcerated hemangiomas have to be treated like other chronic wounds, with hydrocolloid dressings or with barrier creams to prevent contact with stool and urine. Healed ulcerated hemangiomas eventually develop flat scars with hypopigmentation.
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References
Stockman A, Boralevi F, Taieb A, Léauté-Labrèze C (2007) SACRAL Syndrome: Spinal dysraphism, anogenital, cutaneous, renal and urologic anomalies, associated with an angioma of lumbosacral localisation. Dermatology 214:40–45
Girard C, Bigorre M, Guillot B, Bessis D (2006) PELVIS Syndrome. Arch Dermatol 142:884–888
Witman PM, Wagner AM, Scherer K, Waner M (2006) Complications following pulsed dye laser treatment of superficial hemangiomas. Lasers Surg Med 38:116–123
Poetke M, Philipp C, Berlien HP (2000) Flashlamp pulsed dye laser for hemangiomas in infancy. Arch Dermatol 136:628–632
Batta K, Goodyear HM, Moss C et al (2002) Randomised controlled study of early pulsed dye laser treatment of uncomplicated childhood haemangiomas: results of 1-year analysis. Lancet 360:521–527
David LR, Malek MM, Argenta LC (2003) Efficacy of pulse dye laser therapy for the treatment of ulcerated hemangiomas: a review of 78 patients. Br J Plast Surg 56:317–327
Kim HJ, Colombo M, Friede IJ (2001) Ulcerated hemangiomas: Clinical characteristics and response to therapy. J Am Acad Dermatol 44:962–972
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© 2009 Springer-Verlag Italia
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Grantzow, R., Schäffer, K. (2009). Anogenital Hemangiomas. In: Mattassi, R., Loose, D.A., Vaghi, M. (eds) Hemangiomas and Vascular Malformations. Springer, Milano. https://doi.org/10.1007/978-88-470-0569-3_12
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DOI: https://doi.org/10.1007/978-88-470-0569-3_12
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0568-6
Online ISBN: 978-88-470-0569-3
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