하순에 발생한 혈관종 환자의 치험례
The Treatment of Hemangioma in Lower Lip
이은영, 김경원, 이지연,
소속 상세정보
이은영 ( Lee Eun-Young ) - Chungbuk National University
김경원 ( Kim Kyoung-Won ) - Chungbuk National University
이지연 ( Lee Ji-Yeoun ) - Chungbuk National University
KMID : 0360120100320040373
Abstract
Vascular anomalies are common birthmarks. A eight-month-old male infant had a small size, bright red swelling on the lower lip since birth. On cutaneous examination there was a small brightly erythematous, lobulated, soft plaque on the left side of the lower lip of 10 × 8 × 5 mm. Ultrasonogram examination revealed the lesion and confirmed the diagnosis of capillary hemangioma. The decision to initiate treatment is based on many factors, including size, location and risks and benefits of the proposal therapy. Systemic corticosteroids are decided to prevent the scarring and deforming. Prednisolone was given at a dose of 2 mg/kg/day for 2 weeks followed by tapering for 6 weeks for treatment. After eight weeks there was 80% reduction in the size of the lesion and the left lower lip almost completely cleared without intraoral bleeding. Furthermore, intervention by way of systemic steroids, laser therapy or surgical debulking is appropriate and safe in a select group of patients presenting with a proliferating hemangioma. This report describes a case that was sucessfully treated by systemic steroid therapy for hemangima in intraoral region.
키워드
Hemangioma; Steroid therapy
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