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DermAtlas: ARM - hemangioma, segmental
© 2001-2009, DermAtlas
Image Name: ulcerated_segmental_hemangioma_3_091028   File Type: jpg
Diagnosis: HEMANGIOMA, SEGMENTAL /
HEMANGIOMA /
ULCER
  Category: neonatal dermatology /
lumps & bumps (plaques, nodules, tumors) /
ulcer
Body Site: arm   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: large segmental purple plaque with massive central ulceration
Comments: This healthy 10 week old girl was noted to have a red patch on her arm shortly after birth. The patch grew quickly in volume and a large portion of the expanding plaque became necrotic and ulcerated at 4 weeks of age. She was initially treated with 2 mg/kg/day of oral prednisolone without improvement. The ulcer was painful, and several episodes of secondary infection with methicillin staphylococcus were treated with oral and parenteral antibiotics. At 8 weeks of age the prednisolone was tapered, propranolol 2 mg/kg/day was initiated, and the wound was treated with gentle cleaning and a dressing composed of carboxymethylcellulose and 1.2% ionic silver. The first images dated 10/22 were taken 36 hours after the initiation of propranolol and methylcellulose dressings. Subsequent images taken during dressing changes on 10/25 and 10/28 demonstrate a clean granulating wound base.
Related Images: ulcerated_segmental_hemangioma_1_091022 

DermAtlas: ARM - hemangioma, segmental
© 2001-2009, DermAtlas
Image Name: ulcerated_segmental_hemangioma_2_091028   File Type: jpg
Diagnosis: HEMANGIOMA, SEGMENTAL /
HEMANGIOMA /
ULCER
  Category: neonatal dermatology /
lumps & bumps (plaques, nodules, tumors) /
ulcer
Body Site: arm   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: large segmental purple plaque with massive central ulceration
Comments: This healthy 10 week old girl was noted to have a red patch on her arm shortly after birth. The patch grew quickly in volume and a large portion of the expanding plaque became necrotic and ulcerated at 4 weeks of age. She was initially treated with 2 mg/kg/day of oral prednisolone without improvement. The ulcer was painful, and several episodes of secondary infection with methicillin staphylococcus were treated with oral and parenteral antibiotics. At 8 weeks of age the prednisolone was tapered, propranolol 2 mg/kg/day was initiated, and the wound was treated with gentle cleaning and a dressing composed of carboxymethylcellulose and 1.2% ionic silver. The first images dated 10/22 were taken 36 hours after the initiation of propranolol and methylcellulose dressings. Subsequent images taken during dressing changes on 10/25 and 10/28 demonstrate a clean granulating wound base.
Related Images: ulcerated_segmental_hemangioma_1_091022 

DermAtlas: ARM - hemangioma, segmental
© 2001-2009, DermAtlas
Image Name: ulcerated_segmental_hemangioma_1_091028   File Type: jpg
Diagnosis: HEMANGIOMA, SEGMENTAL /
HEMANGIOMA /
ULCER
  Category: neonatal dermatology /
lumps & bumps (plaques, nodules, tumors) /
ulcer
Body Site: arm   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: large segmental purple plaque with massive central ulceration
Comments: This healthy 10 week old girl was noted to have a red patch on her arm shortly after birth. The patch grew quickly in volume and a large portion of the expanding plaque became necrotic and ulcerated at 4 weeks of age. She was initially treated with 2 mg/kg/day of oral prednisolone without improvement. The ulcer was painful, and several episodes of secondary infection with methicillin staphylococcus were treated with oral and parenteral antibiotics. At 8 weeks of age the prednisolone was tapered, propranolol 2 mg/kg/day was initiated, and the wound was treated with gentle cleaning and a dressing composed of carboxymethylcellulose and 1.2% ionic silver. The first images dated 10/22 were taken 36 hours after the initiation of propranolol and methylcellulose dressings. Subsequent images taken during dressing changes on 10/25 and 10/28 demonstrate a clean granulating wound base.
Related Images: ulcerated_segmental_hemangioma_1_091022 

DermAtlas: ARM - hemangioma, segmental
© 2001-2009, DermAtlas
Image Name: ulcerated_segmental_hemangioma_5_091025   File Type: jpg
Diagnosis: HEMANGIOMA, SEGMENTAL /
HEMANGIOMA /
ULCER
  Category: neonatal dermatology /
lumps & bumps (plaques, nodules, tumors) /
ulcer
Body Site: arm   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: large segmental purple plaque with massive central ulceration
Comments: This healthy 10 week old girl was noted to have a red patch on her arm shortly after birth. The patch grew quickly in volume and a large portion of the expanding plaque became necrotic and ulcerated at 4 weeks of age. She was initially treated with 2 mg/kg/day of oral prednisolone without improvement. The ulcer was painful, and several episodes of secondary infection with methicillin staphylococcus were treated with oral and parenteral antibiotics. At 8 weeks of age the prednisolone was tapered, propranolol 2 mg/kg/day was initiated, and the wound was treated with gentle cleaning and a dressing composed of carboxymethylcellulose and 1.2% ionic silver. The first images dated 10/22 were taken 36 hours after the initiation of propranolol and methylcellulose dressings. Subsequent images taken during dressing changes on 10/25 and 10/28 demonstrate a clean granulating wound base.
Related Images: ulcerated_segmental_hemangioma_1_091022 

DermAtlas: ARM - hemangioma, segmental
© 2001-2009, DermAtlas
Image Name: ulcerated_segmental_hemangioma_4_091025   File Type: jpg
Diagnosis: HEMANGIOMA, SEGMENTAL /
HEMANGIOMA /
ULCER
  Category: neonatal dermatology /
lumps & bumps (plaques, nodules, tumors) /
ulcer
Body Site: arm   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: large segmental purple plaque with massive central ulceration
Comments: This healthy 10 week old girl was noted to have a red patch on her arm shortly after birth. The patch grew quickly in volume and a large portion of the expanding plaque became necrotic and ulcerated at 4 weeks of age. She was initially treated with 2 mg/kg/day of oral prednisolone without improvement. The ulcer was painful, and several episodes of secondary infection with methicillin staphylococcus were treated with oral and parenteral antibiotics. At 8 weeks of age the prednisolone was tapered, propranolol 2 mg/kg/day was initiated, and the wound was treated with gentle cleaning and a dressing composed of carboxymethylcellulose and 1.2% ionic silver. The first images dated 10/22 were taken 36 hours after the initiation of propranolol and methylcellulose dressings. Subsequent images taken during dressing changes on 10/25 and 10/28 demonstrate a clean granulating wound base.
Related Images: ulcerated_segmental_hemangioma_1_091022 

DermAtlas: ARM - hemangioma, segmental
© 2001-2009, DermAtlas
Image Name: ulcerated_segmental_hemangioma_3_091025   File Type: jpg
Diagnosis: HEMANGIOMA, SEGMENTAL /
HEMANGIOMA /
ULCER
  Category: neonatal dermatology /
lumps & bumps (plaques, nodules, tumors) /
ulcer
Body Site: arm   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: large segmental purple plaque with massive central ulceration
Comments: This healthy 10 week old girl was noted to have a red patch on her arm shortly after birth. The patch grew quickly in volume and a large portion of the expanding plaque became necrotic and ulcerated at 4 weeks of age. She was initially treated with 2 mg/kg/day of oral prednisolone without improvement. The ulcer was painful, and several episodes of secondary infection with methicillin staphylococcus were treated with oral and parenteral antibiotics. At 8 weeks of age the prednisolone was tapered, propranolol 2 mg/kg/day was initiated, and the wound was treated with gentle cleaning and a dressing composed of carboxymethylcellulose and 1.2% ionic silver. The first images dated 10/22 were taken 36 hours after the initiation of propranolol and methylcellulose dressings. Subsequent images taken during dressing changes on 10/25 and 10/28 demonstrate a clean granulating wound base.
Related Images: ulcerated_segmental_hemangioma_1_091022 

DermAtlas: ARM - hemangioma, segmental
© 2001-2009, DermAtlas
Image Name: ulcerated_segmental_hemangioma_2_091025   File Type: jpg
Diagnosis: HEMANGIOMA, SEGMENTAL /
HEMANGIOMA /
ULCER
  Category: neonatal dermatology /
lumps & bumps (plaques, nodules, tumors) /
ulcer
Body Site: arm   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: large segmental purple plaque with massive central ulceration
Comments: This healthy 10 week old girl was noted to have a red patch on her arm shortly after birth. The patch grew quickly in volume and a large portion of the expanding plaque became necrotic and ulcerated at 4 weeks of age. She was initially treated with 2 mg/kg/day of oral prednisolone without improvement. The ulcer was painful, and several episodes of secondary infection with methicillin staphylococcus were treated with oral and parenteral antibiotics. At 8 weeks of age the prednisolone was tapered, propranolol 2 mg/kg/day was initiated, and the wound was treated with gentle cleaning and a dressing composed of carboxymethylcellulose and 1.2% ionic silver. The first images dated 10/22 were taken 36 hours after the initiation of propranolol and methylcellulose dressings. Subsequent images taken during dressing changes on 10/25 and 10/28 demonstrate a clean granulating wound base.
Related Images: ulcerated_segmental_hemangioma_1_091022 

DermAtlas: ARM - hemangioma, segmental
© 2001-2009, DermAtlas
Image Name: ulcerated_segmental_hemangioma_1_091025   File Type: jpg
Diagnosis: HEMANGIOMA, SEGMENTAL /
HEMANGIOMA /
ULCER
  Category: neonatal dermatology /
lumps & bumps (plaques, nodules, tumors) /
ulcer
Body Site: arm   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: large segmental purple plaque with massive central ulceration
Comments: This healthy 10 week old girl was noted to have a red patch on her arm shortly after birth. The patch grew quickly in volume and a large portion of the expanding plaque became necrotic and ulcerated at 4 weeks of age. She was initially treated with 2 mg/kg/day of oral prednisolone without improvement. The ulcer was painful, and several episodes of secondary infection with methicillin staphylococcus were treated with oral and parenteral antibiotics. At 8 weeks of age the prednisolone was tapered, propranolol 2 mg/kg/day was initiated, and the wound was treated with gentle cleaning and a dressing composed of carboxymethylcellulose and 1.2% ionic silver. The first images dated 10/22 were taken 36 hours after the initiation of propranolol and methylcellulose dressings. Subsequent images taken during dressing changes on 10/25 and 10/28 demonstrate a clean granulating wound base.
Related Images: ulcerated_segmental_hemangioma_1_091022 

DermAtlas: ARM - hemangioma, segmental
© 2001-2009, DermAtlas
Image Name: ulcerated_segmental_hemangioma_6_091022   File Type: jpg
Diagnosis: HEMANGIOMA, SEGMENTAL /
HEMANGIOMA /
ULCER
  Category: neonatal dermatology /
lumps & bumps (plaques, nodules, tumors) /
ulcer
Body Site: arm   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: large segmental purple plaque with massive central ulceration
Comments: This healthy 10 week old girl was noted to have a red patch on her arm shortly after birth. The patch grew quickly in volume and a large portion of the expanding plaque became necrotic and ulcerated at 4 weeks of age. She was initially treated with 2 mg/kg/day of oral prednisolone without improvement. The ulcer was painful, and several episodes of secondary infection with methicillin staphylococcus were treated with oral and parenteral antibiotics. At 8 weeks of age the prednisolone was tapered, propranolol 2 mg/kg/day was initiated, and the wound was treated with gentle cleaning and a dressing composed of carboxymethylcellulose and 1.2% ionic silver. The first images dated 10/22 were taken 36 hours after the initiation of propranolol and methylcellulose dressings. Subsequent images taken during dressing changes on 10/25 and 10/28 demonstrate a clean granulating wound base.
Related Images: ulcerated_segmental_hemangioma_1_091022 

DermAtlas: ARM - hemangioma, segmental
© 2001-2009, DermAtlas
Image Name: ulcerated_segmental_hemangioma_5_091022   File Type: jpg
Diagnosis: HEMANGIOMA, SEGMENTAL /
HEMANGIOMA /
ULCER
  Category: neonatal dermatology /
lumps & bumps (plaques, nodules, tumors) /
ulcer
Body Site: arm   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: large segmental purple plaque with massive central ulceration
Comments: This healthy 10 week old girl was noted to have a red patch on her arm shortly after birth. The patch grew quickly in volume and a large portion of the expanding plaque became necrotic and ulcerated at 4 weeks of age. She was initially treated with 2 mg/kg/day of oral prednisolone without improvement. The ulcer was painful, and several episodes of secondary infection with methicillin staphylococcus were treated with oral and parenteral antibiotics. At 8 weeks of age the prednisolone was tapered, propranolol 2 mg/kg/day was initiated, and the wound was treated with gentle cleaning and a dressing composed of carboxymethylcellulose and 1.2% ionic silver. The first images dated 10/22 were taken 36 hours after the initiation of propranolol and methylcellulose dressings. Subsequent images taken during dressing changes on 10/25 and 10/28 demonstrate a clean granulating wound base.
Related Images: ulcerated_segmental_hemangioma_1_091022 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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