Original articlePoikilodermatous plaque-like hemangioma: Case series of a newly defined entity
Section snippets
Materials and methods
A total of 16 cases were identified. Most of the cases (n = 13) were retrieved from the consultation files of 1 of the authors (Dr Calonje) or were sent to the St. John's Institute Department of Dermatopathology for second opinion. Additional cases were retrieved from the consultation files of 2 of the other authors (Dr Carr and Dr Taibjee). The clinical picture was similar in all cases. Patients presented with a solitary atrophic erythematous or violaceous plaque or, in rare cases, slightly
Clinical features
Patient age ranged from 58 to 80 (mean 72) years. The lesion duration, available for 13 patients, ranged from 2 months to 6 years (mean 2.5 years). There was a male predominance (male-to-female ratio 14:2). Lesions were typically described as slowly growing, asymptomatic erythematous or violaceous atrophic plaques, ranging in size from 2 to 7 (mean 5.8) cm in diameter. Superficial scale was clinically noted in 4 patients. Almost all lesions were located on the lower extremities (hip, thigh, and
Discussion
We describe a previously unreported vascular proliferation with distinctive and reproducible features. It usually presents as an indolent solitary erythematous or violaceous atrophic plaque during or after the 5th decade of life, predominantly in male patients, most commonly on the lower extremities; this proliferation demonstrated a benign clinical course during the available follow-up period (up to 6 years). Histologically, there is a characteristic superficial dermal band-like vascular
References (14)
- et al.
Poikilodermatous mycosis fungoides: a study of its clinicopathological, immunophenotypic, and prognostic features
J Am Acad Dermatol
(2011) - et al.
Expanding the clinicopathological spectrum of late cutaneous Lyme borreliosis (acrodermatitis chronica atrophicans [ACA]): a prospective study of 20 culture- and/or polymerase chain reaction (PCR)-documented cases
J Am Acad Dermatol
(2016) - et al.
Acquired elastotic hemangioma: a clinicopathologic variant of hemangioma
J Am Acad Dermatol
(2002) - et al.
Targetoid hemosiderotic hemangiomas (hobnail hemangiomas) are vascular lymphatic malformations: a study of 12 pediatric cases
J Am Acad Dermatol
(2012) - et al.
Acrally distributed dermatoses: vascular dermatoses (purpura and vasculitis)
Clin Dermatol
(2017) - et al.
Poikilodermatous mycosis fungoides
Dermatol Online J
(2012) - et al.
A case of poikiloderma vasculare atrophicans
Ann Dermatol
(2011)
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Funding sources: None.
Conflicts of interest: None disclosed.
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