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Arch Pediatr Adolesc Med. 2008;162(9):894.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Denouement and Discussion: Ulcerated Infantile Hemangioma

An ulcerated infantile hemangioma was diagnosed in this otherwise healthy infant. Further workup showed normal renal, scrotal, and spinal ultrasonography results. Wound cultures revealed normal regional flora. On diagnosis, ceftriaxone and vancomycin therapy was discontinued and instead a mixture of mupirocin and gentamicin sulfate ointments was applied to the ulcer 3 times per day followed by liberal application of a thick barrier cream. The patient was subsequently discharged from the hospital and followed up as an outpatient 5 days later. The ulceration had progressed and the patient was started on 3.0 mg/kg/d of prednisolone for 3 weeks, at which point he began a 2-week taper. The gentamicin and mupirocin ointments and barrier cream were continued. Acetaminophen was given as needed for pain control.

The patient was followed up weekly. Marked improvement with granulation of the ulcer was noted until 6 weeks after the initial presentation. At this point he developed . . . [Full Text of this Article]

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Arch Pediatr Adolesc Med. 2008;162(9):893.
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