Systemic propranolol and topical moist wound dressings for ulcerated infantile hemangioma of the scrotum: a case report - Takeaways - MDSpire
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Management of Ulcerated Scrotal Infantile Hemangioma in an Infant Using Systemic Propranolol and Topical Moist Dressings: A Case Study

  • By

  • Jiejun Xia

  • Kunshan Chen

  • Zhenyin Liu

  • Xiaoyun Tan

  • Shifeng Xie

  • Haibo Li

  • May 4, 2026

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  • 1

    Ulcerated infantile hemangiomas can complicate treatment, especially in high-risk areas like the scrotum, due to risks of infection and scarring.

  • 2

    A 5-month-old male with an ulcerated scrotal hemangioma was treated successfully with systemic propranolol and customized moist wound dressings.

  • 3

    The treatment regimen included a maintenance dose of 2 mg/kg/day of oral propranolol and tailored moist wound healing strategies.

  • 4

    Complete epithelialization of the ulcer occurred within 12 days, with significant regression of the hemangioma and no hypertrophic scarring.

  • 5

    This case highlights the effectiveness of combining systemic propranolol with a moist wound healing approach for rapid recovery in complex cases.

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