Get access

Pain Management for Ulcerated Infantile Hemangiomas



This article is corrected by:

  1. Errata: Errata Volume 29, Issue 4, 548, Article first published online: 3 July 2012

Address correspondence to Aimee C. Smidt, M.D., Department of Dermatology, University of New Mexico, 1021 Medical Arts Ave NE, Albuquerque, New Mexico 87131, or e-mail:


Abstract:  Perioral ulcerated hemangiomas in infants can present a therapeutic challenge to clinicians, especially when associated with severe pain and difficulty feeding. Topical and oral pain medications can be beneficial, but feeding difficulties may still occur while awaiting healing of the ulceration with the use of systemic or topical agents. We present a case of an infant with an ulcerated lip hemangioma treated with an over-the-counter topical sealant in combination with systemic corticosteroid therapy who showed dramatic improvement in pain and tolerance to feeding, resulting in healing of the ulceration.