CASE REPORT
Year: 2019 I Volume: 2 I Issue: 2 I Page: 58
A Rare Case Of Angioma Serpiginosum
Dr. Satyendra Kumar Singh1, Dr. Nidhi Singh1, Dr. Tulika Rai1, Dr Ayushi Bohara1
1 Department of Dermatology & Venereology, B.H.U
Corresponding Author:
Nidhi Singh
How to cite this article:
Singh SK, Singh N, Rai T, Bohara A. A rare case of Angioma serpiginosum.JDAIndianJournalofClinicalDermatology.2019;2:58.
Abstract:
Angioma serpiginosum, a rare vascular nevoid disorder due to ectatic dilation of capillaries in the papillary dermis, is found almost exclusively in females. Affected individuals tend to have grouped erythematous punctate lesions on the lower limbs or buttocks.
Key words: Angioma serpiginosum, vascular nevoid disorder
Introduction:
Angioma serpiginosum, a rare vascular nevoid disorder due to ectatic dilation of capillaries in the papillary dermis, is found almost exclusively in females. It was first described by Hutchinson in 1889.[1] Affected individualstend to have grouped erythematous punctate lesions on the lower limbs or buttocks.
Case Report:
A 26 year-old man presented to our dermatology department, with complaint of asymptomatic red, non raised skin lesions over left half ofthe neck, left upper part of abdomen and penis for 11 years. The patient’s and family medical history were unremarkable. On examinationtherewerewell areasofmultiple,small, asymptomatic, non-palpable, red punctate macules organized in smallsheets over leftside of neck, left upper part of abdomen and penis(figure no.1 & 2). Laboratory investigations like complete blood count, liver function test, renal function test, bleeding time and clotting time were within normal limit. Histopathologic examination of skin biopsy from abdomen, revealed multiple areas of congested dilatedcapillariesin thepapillarydermis(figureno.3).
Discussion:
Angioma serpiginosumis a rare, benign, acquired, vascular nevoid condition. It has female preponderance and mainly affects lower extremities and buttocks. The condition is an asymptomatic. It usually startsin early childhood and stabilizesin adults. It israrely undergo complete spontaneous involution. Clinically, lesions are copper to bright red, punctate, non-blanchable or partially blanchable, grouped maculesthat may develop into papules with a background of erythema. Lesions enlarge by developing new lesions at the periphery with clearing of lesions in the center and thisleadsto a serpiginous orgyrate ringlikemorphology.[2]
It has no known etiology. Estrogen was considered to be an important hormone in the development of angioma serpiginosum supporting the role of hormones for the cause of increased incidence of angioma serpiginosum in women.[3] However, recently, the role of hormones in its pathogenesis was disproved due to the absence of estrogen and progesterone receptors on the involved blood vessels.[4]
![]() |
Figure 1: Sheet of red macule over left side of neck. |
![]() |
Figure 2: Sheet of red macule over left upper aspect of abdomen. |
![]() |
Figure 3: Congested dilated capillaries in papillary dermis. (HPE 100×) |
References:
1. Chen JH, Wang KH, Hu CH, Chiu JS. Atypical angioma serpiginosum.YonseiMed J2008;49:509-13.
2. Namazi MR, Handjani F.Angioma serpiginosum. Dermatol Online J2003;9:19
3. Xiao X, Hong L, Sheng M. Promoting effect of estrogen on the proliferation of hemangioma vascular endothelial cellsin vitro.JPediatrSurg1999;34:1603-5.
4. Bayramgurler D, Filinte D, Kiran R.Angioma serpiginosum with sole involvement.EurJDermatol2008;18:708-9.
5. IlknurT, Fetil E,Akarsu S,Altiner DD, UlukusC, GünesAT. Angioma serpiginosum: Dermoscopy for diagnosis, pulsed dye laserfortreatment.JDermatol2006;33:252-5.
anastrozole generic buy arimidex 1 mg generic order arimidex 1mg without prescription
cialis vs viagra 74 As a result, a number of companies have developed an interest in designing more potent selective estrogen receptor downregulators that may have potential uses in this population
I don’t think the title of your article matches the content lol. Just kidding, mainly because I had some doubts after reading the article.
prednisone 5 mg brand name: https://prednisone1st.store/# prednisone 300mg
dating sites in usa: dating singles for free sites – free local dates
Players in the U.S. can’t legally play on the international versions of PokerStars, partypoker, or GGPoker. Partypoker and PokerStars do operate online poker sites in certain U.S. states, but those networks only allow players from within their respective states. The process to create the poker room varies from one poker application to another poker application. The shortcut button which will lead you to create your poker room is usually found on the homepage. Manage your budget when playing online with our player-friendly tools. Zynga Poker also has the function of organizing poker tournaments with friends. It helps to build a poker community in which gamblers can communicate with each other and join one game from any place in the world. Moreover, players can unite into leagues and those, who have excellent results, will be at the head of it.
http://gongbuking.com/bbs/board.php?bo_table=free&wr_id=16068
Apollo Slots Casino, like Yebo and Thunderbolt, focuses on the South African online casino market. All three platforms support ZAR and even give SA players free casino cash when they sign up. Another similarity between these three casinos is that they’re all single-vendor casinos, which means they get games from only a single game creation company. Apollo Slots is an absolutely legit online casino that has been frequented by South Africans since 2016. While legislation pertaining to online gambling in SA is currently very hazy, one thing remains true – SA players continue to enjoy top notch gaming at quality sites such as Apollo Slots. The online casino is powered by one of the most prestigious software providers in the industry, Realtime Gaming, and is licensed and regulated by the Kahnawake Gaming Commission.