2003, Number 1
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Med Cutan Iber Lat Am 2003; 31 (1)
Angioma Serpiginosum
Yáñez- Díaz S, Val-Bernal JF, González-López M, Fernández-Llaca JH
Language: Spanish
References: 14
Page: 34-37
PDF size: 259.08 Kb.
ABSTRACT
Angioma serpiginosum is a rare condition of unknown etiology. This process usually begins in chilhood or adolescence. Females being are commonly more affected than males. Although there are familial forms most cases are sporadic. This condition is characterized by the appearing of multyple, asymptomatic pin-sized, vascular erythematous of purpuric lesions that progress slowly, and adopt a serpiginous pattern of distribution. The lesions locate on any part of the body and do not regress.
Histologically, single or grouped, ectatic, congested, capillary vessels in the papillary dermis and occasionally in the upper reticular dermis are observed. We here report two adolescent patients with angioma serpiginosum. One case was a female who presented typical lesions in one leg since the infancy. The other case was a male who developed lesions in trunk and upper extremity a few months after being born. In both cases histological findings were similar with proliferated, dilated capillaries in dermal papillae or in the superficial reticular dermis. It is important to distinguish this rare condition to avoid misdiagnosis. Misinterpretation of the other kind of vascular lesion may require ancillary studies.
REFERENCES
Hutchinson, J. A peculiar form of serpiginous and infective naevoid disease. Arch Surg 1889;1: 275.
Requena L, Sangueza O. P. Cutaneous vascular proliferations. Part II. Hyperplasias and benign neoplasms. J Am Acad Dermatol 1997; 37: 887-920.
Kumakiri M, Katoh N, Miura, Y. Angioma serpiginosum. J Cutan Pathol 1980; 7: 410-421.
Barker L.P, Sach P. M. Angioma serpiginosum, a comparative study. Arch Dermatol 1965; 92: 613- 620.
Ohnishi T, Nagayama T, Morita T, Miyazaki T, Okada H, Ohara K, Watanabe S. Angioma serpiginosum . A report of two cases identified using epiluminescence microscopy. Arch Dermatol 1999; 135: 1366-1368.
Al Hawsawi K, Al Aboud K, Al Aboud D, Al Githami A. Pediatric Dermatol 2003; 20:167-168
Marriot P.J, Munro D.D, Ryan T. Angioma serpiginosum, familial incidence. Br J Dermatol 1975; 93: 701-706.
Frain-Bell W. Angioma serpiginosum. Br J Dermatol 1957 ;69: 251-268.
Long CC, Lanigan SW. Treatment of angioma serpiginosum using a pulsed tunable dye laser. Br J Dermatol 1997; 136: 631- 632.
Katta R, Wagner A. Angioma serpiginosum with extensive cutaneous involvement. J Am Acad Dermatol 2000; 42: 384-385.
Gautier-Smith PC, Sanders MD, Sanderson KV. Br J Ophthalmol 1971 ; 55: 433-443.
Cox NH, Paterson WD. Angioma serpiginosum: a simulator of purpura. Postgrad Med J. 1991; 67: 1065-1066.
Neumann E. Some new observations on the genesis of angioma serpiginosum. Acta Derm Venereol 1971; 51:194-198.
Chavaz P, Laugier P, Angiome serpegineux de Hutchinson: etude ultrastructurale. Ann Dermatol Venéreol 1981; 108: 429-436.