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Anais Brasileiros de Dermatologia
On-line version ISSN 1806-4841
PEREIRA, Priscilla Maria Rodrigues et al. Periorbital hemangiomas: the need for active management - report of two cases. An. Bras. Dermatol. [online]. 2011, vol.86, n.3, pp.545-548. ISSN 1806-4841. http://dx.doi.org/10.1590/S0365-05962011000300018.
Hemangioma is the most common tumor of childhood and is commonly located on the head or neck. The orbit is often affected and early and aggressive intervention is required to prevent serious visual complications. This paper reports on two cases. In the first case, the patient's vision was impaired, while in the second case a deep hemangioma affecting adjacent areas was confirmed radiologically. Treatment with aggressive systemic corticotherapy was successful, thus avoiding permanent damage to the patients' vision. Furthermore, esthetic outcome was satisfactory. The treatment of choice is oral corticosteroids and management should be individualized and should include careful follow-up to monitor possible adverse effects
Keywords : Adrenal cortex hormones; Glucocorticoids; Hemangioma; Hemangioma, capillary; Hemangioma, cavernous; therapeutics.