title: Treatment of ulcerated haemangiomas with a non-coherent pulsed light source: brief initial clinical report.
abstract: BACKGROUND
  Ulceration is the most common complication of infantile haemangiomas and constitutes an authentic therapeutic challenge because of associated pain, infection, haemorrhage and subsequent scarring.
  
  
  OBJECTIVE
  To report our experience with an intense pulsed light (IPL) system in the treatment of ulcerated haemangiomas.
  
  
  METHODS
  Case 1: A 4-month-old girl, with haemangioma affecting the entire cutaneous surface of the left limb, developed four ulcerations on the inner aspect of this extremity. Two sessions with an IPL system using a triple pulse mode, a 570-nm lower cut-off filter and a fluence of 38 J/cm2 were performed. Case 2: A 5-month-old girl with ulcerated labial haemangioma that previously failed to respond to intralesional corticoids was treated with an IPL system device. Three sessions using a triple pulse mode with a 570-nm lower cut-off filter and a fluence of 48 J/cm2 were realized.
  
  
  RESULTS
  Good results were rapidly obtained after two and four sessions of IPL treatment, respectively. Pain was soon relieved and complete epithelization was obtained by between 1 and 2 months in both patients.
  
  
  CONCLUSIONS
  Although our experience is rare, we believe that IPL devices may be an effective alternative treatment of ulcerated haemangiomas.
authors.affiliation: Department of Dermatology, Hospital Juan Canalejo, A Coruña, Spain. beafjorge@hotmaiol.com
authors.forename: Beatriz Fernández
authors.initials: BF
authors.lastname: Jorge
authors.forename: Jesús
authors.initials: J
authors.lastname: Del Pozo
authors.forename: Iria
authors.initials: I
authors.lastname: Castiñeiras
authors.forename: Marta
authors.initials: M
authors.lastname: Mazaira
authors.forename: Rosa
authors.initials: R
authors.lastname: Fernández-Torres
authors.forename: Eduardo
authors.initials: E
authors.lastname: Fonseca
mesh_terms: D005260:Female; D006391:Hemangioma / Q000150:complications / Q000628:therapy*; D006801:Humans; D007223:Infant; D010789:Phototherapy; D012883:Skin Ulcer / Q000209:etiology / Q000628:therapy*