Tufted Angioma Presenting with Polycyclic Features Mimicking Tinea Faciale.
- Author:
Eui Hyun OH
1
;
Sung Soo HAN
;
Hyung Kwon PARK
;
Joung Soo KIM
;
Hee Joon YU
Author Information
1. Department of Dermatology, Hanyang University College of Medicine, Guri, Korea. yuhjoon@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Differential diagnosis;
Tinea faciale;
Tufted angioma
- MeSH:
Biopsy;
Capillaries;
Cheek;
Child;
Chin;
Dermis;
Diagnosis;
Diagnosis, Differential;
Female;
Hemangioma*;
Humans;
Middle Aged;
Neck;
Skin;
Tinea*;
Vascular Neoplasms
- From:Korean Journal of Dermatology
2017;55(8):514-517
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Tufted angioma is a rare benign vascular neoplasm that usually occurs in children. It appears as an erythematous, purplish, indurated papule or plaque on the trunk or neck. Although it can have variable clinical manifestations, the annular or serpiginous configuration of lesions resembling tinea infections has rarely been reported. A 47-year-old woman presented with an erythematous plaque enlarging by peripheral extension to form polycyclic or serpiginous figures on her left chin and buccal cheek for 7 months without any subjective symptoms. Tinea faciale was considered as the initial clinical diagnosis, but repeated KOH tests were all negative; therefore, skin biopsy was performed. Histopathology revealed discrete circumscribed foci of capillaries scattered throughout the dermis showing a cannon ball appearance, compatible with tufted angioma. Clinical features showed considerable improvement after 2 sessions of intense pulsed light and pulsed-dye laser (5 repetitions) without any complications. Herein, we report a rare case of polycyclic variant of tufted angioma, which developed in a woman in her 5th decade.
