The steroid benefit in treating complicated hemangioma

The clinical study included (30) patients with complicated cutaneous hemangioma (ulceration, bleeding, obstruction of anatomical orifices, & interference with function or movement). Those patients studied regarding the age group, sex, site of lesion, size of lesion, & the percentage of regression after treatment with steroid.
The range of age was from 3 months to 6 years, 20 patients were female & 10 patients were male.
We use local injection of diluted Triamcinolne 4mg with 5ml NACL 0.9% (normal saline), injected by 23gage syringe under local or general anesthesia every 2 weeks for 6 - 8 sessions depending on the severity of case then applying local pressure dressing. We measure the size of the lesion before each session &record the regression of the lesion. The patients followed for 2 years. Hemangioma commonly present in infant & children, most commonly in female, especially in head & neck in small size between (1*1 -2*4). It will regress early if we start the treatment earlier.