Ann Dermatol.  2010 Feb;22(1):66-68. 10.5021/ad.2010.22.1.66.

A Case of Post-Injury Angiokeratoma Circumscriptum of the Chest

• Kwon NH
• Kim SY
• Kim GM

• KMID: 2172042
• DOI: http://doi.org/10.5021/ad.2010.22.1.66

Abstract

Angiokeratomas represent vascular lesions and are histologically characterized by superficial vascular ectasia and overlying acanthosis and/or hyperkeratosis. Angiokeratomas can be classified into five types, with angiokeratoma circumscriptum representing the least common of the five types. Angiokeratoma circumscriptum presents at birth and frequently occurs unilaterally on the leg. Herein, we report a rare case of long term angiokeratoma circumscriptum (twelve years) on the right chest, discovered following the excision of a lipoma from the same area.

Keyword

Angiokeratoma circumscriptum; Chest; Injury

MeSH Terms

Angiokeratoma
Dilatation, Pathologic
Leg
Lipoma
Parturition
Thorax

Figure

• 

  Fig. 1 Several, red to violaceous colored clustered macules and papules on the right chest.

• 

  Fig. 2 (A) Histopathology showing acanthosis with dilated blood-filled vessels in the papillary dermis (H&E stain, ×40). (B) Dilated blood vessels with overlying epidermal hyperplasia (H&E stain, ×200). (C) Immunohistopathology showing positive reactions against CD34 stain (×200).

Reference

1. Schiller PI, Itin PH. Angiokeratomas: an update. Dermatology. 1996. 193:275–282.

2. Newton JA, McGibbon DH. The treatment of multiple angiokeratomata with the argon laser. Clin Exp Dermatol. 1987. 12:23–25.

3. Imperial R, Helwig EB. Angiokeratoma. A clinicopathological study. Arch Dermatol. 1967. 95:166–175.

4. Elder DE, Johnson BL, Elenitsas R. Lever's histopathology of the skin. 2009. 10th ed. Philadelphia: Lippincott Williams & Wilkins;1011.

5. Ozdemir R, Karaaslan O, Tiftikcioglu YO, Kocer U. Angiokeratoma circumscriptum. Dermatol Surg. 2004. 30:1364–1366.

6. Dolph JL, Demuth RJ, Miller SH. Angiokeratoma circumscriptum of the index finger in a child. Plast Reconstr Surg. 1981. 67:221–223.

7. Kim JH, Nam TS, Kim SH. Solitary angiokeratoma developed in one area of lymphangioma circumscriptum. J Korean Med Sci. 1988. 3:169–170.

8. del Pozo J, Fonseca E. Angiokertoma circumscriptum naeviforme: successful treatment with carbon-dioxide laser vaporization. Dermatol Surg. 2005. 31:232–236.