A Case of Hyperkeratotic Vascular Stains.
- Author:
Hyun Joong JOO
1
;
Young Gull KIM
;
Eui Chang CHUNG
;
Ai Young LEE
Author Information
1. Department of Dermatology, Eulji University School of Medicine, Seoul, Korea. dermajoo@hanmail.net
- Publication Type:Case Report
- Keywords:
Hyperkeratotic vascular stains;
Verrucous hemangioma;
Congenital angiokeratoma
- MeSH:
Angiokeratoma;
Capillaries;
Child;
Coloring Agents*;
Dermis;
Dilatation;
Erythrocytes;
Female;
Hemangioma;
Humans;
Laser Therapy;
Lasers, Dye;
Lasers, Gas;
Leg;
Papilloma;
Parturition;
Subcutaneous Fat
- From:Korean Journal of Dermatology
2001;39(9):1060-1062
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The term, hyperkeratotic vascular stains is a peculiar form of capillary malformations commonly called as angiokeratoma or verrucous hemangioma. Hyperkeratotic vascular stains present at birth and consist of vascular dilatation and epidermal proliferation manifested as hyperkeratosis, acanthosis, and papillomatosis. Some authors insisted that angiokeratoma and verrucous hemangioma are not proper terms because they are not true tumors but malformations due to their lack of endothelial proliferation. Wide and deep excisions have been preferred as a curative therapy. The patient was a 9-year-old girl with multiple, linear, bluish black colored, hyperkeratotic plaques on her left lower leg. The red patches at birth had slowly enlarged and had become verrucous. Some satellite lesions had also developed. Histopathologic examination showed dilated capillaries filled with red blood cells in the papillary dermis and subcutaneous fat layer. The carbon dioxide laser was used to remove hyperkeratotic plaques. The flash-lamp pumped-pulsed dye laser and intense noncoherent pulsed light were used to remove satellite lesions and vascular lesions for a year. One of the lesions resistant to laser therapy was completely excised. Because multiple hyperkeratotic vascular stains are often impossible to be excised completely, laser therapy may be tried as the first choice.
