Magan Medical Clinic, Dermatology
We provide quality dermatology care with compassion. Our specialty is medical dermatology, including:
If you have psoriasis or hair questions, Dr. Chiang possesses special expertise. He completed fellowships in both fields at University of California, San Francisco where he saw a wide spectrum of patients (including the most severe), performed clinical trials, and published research.
We take pleasure in serving our community including Covina, West Covina, San Dimas, Rancho Cucamonga, Baldwin Park, Azusa, Glendora, Upland, El Monte, Duarte, Monrovia, Arcadia, La Puente, and Diamond Bar.
Same day appointments often available. No referral is necessary if you have PPO insurance. We accept a wide range of insurance plans (unfortunately, we do not accept Medi-Cal as primary insurance, only as secondary insurance).
For appointments, please call (626) 331-6411. We look forward to serving you!
"What’s New in..."
A monthly column by Dr. Chiang
What’s New in Infantile Hemangiomas
As discussed in my July 2014 update, infantile hemangiomas are benign blood vessel tumors that typically grow rapidly then gradually involute. They can leave fibrofatty scars and sometimes “specific anatomic curves of the lips, nose, and philtrum do not necessarily return to normal contours after becoming distorted.” Treatment has shifted from steroids to a blood pressure medication called propranolol to there now being promising data on using a medication called itraconazole. This is a good trend as the newer medications seem to be both safer and more efficacious than the previous medications used. The previous propranolol could require a cardiovascular and pulmonary exam, in addition to bloodwork monitoring. Thankfully, itraconazole only needs routine bloodwork. It has been shown in laboratory research to inhibit growth and migration of proliferating human hemangioma epithelial cells, similar to the older propranolol but efficacious at a 10-fold lower dosage concentration.
Oral itraconazole led to a 71% success rate (80-100% improvement & both parents and physicians indicated satisfaction with the results). Treatment averaged 8.8 weeks, and the medication was dosed at 5 mg/kg/day. Patients were monitored for liver issues and all liver results were normal. One third of patients had mild diarrhea not requiring discontinuation of medication.
The major caveat is that this is a single medical center with 17 treated patients. More data is obviously better, but for a relatively safe medication, this is likely enough data to consider the option.
If your child has a worrisome hemangioma or other concern, I look forward to seeing him/her. Please make an appointment for a dermatology consultation at (626) 331-6411.
Charles Chiang, MD, FAAD
- Ran Y, et al. Successful treatment of oral itraconazole for infantile hemangiomas: a case series. J Dermatol 2015
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