Although uncommon, ulceration can occur. Haemangiomas located around the mouth, lips, ear, neck, armpits and nappy area are most likely to become ulcerated. This is due to friction between two skin surfaces rubbing together. Ulceration can lead to bleeding, pain and skin infection. Healing of ulcers may vary from a few weeks to several months.

Recommendations

1. Pain Management:
   Haemangiomas can be very painful when ulcerated.
   • Pain medications (e.g. paracetamol) may be prescribed by your doctor if required.
   • Pain medications should be given half an hour before each dressing change if required.
     
     
2. Infections:
   Ulcerated haemangioma are at risk of becoming infected.
   Signs of infections include:
   • Increased redness, oozing or crusting in the area of ulceration
   • Swelling in or around the area of ulceration
   • Fever (> 38 o C)
     If any of the above occurs, please bring your child to the Children’s Emergency at Children’s Tower, Basement 1.
   • Antibiotics may be prescribed by your doctor if infection is present.
   • Topical antibiotics should be applied directly to the ulcerated area.
   • Oral antibiotics may be prescribed if the infection is more severe.
     
     
3. Dressings:
   If a dressing is required, our dermatology nurses will advise you on wound management. Dressing techniques and wound care will be demonstrated. You will be advised on how often you need to change the dressings. Avoid positional pressure on the area of ulceration.

Follow-up Appointment
Your child will be reviewed regularly in the clinic until the ulceration is fully healed.