Cavernous lymphangiomas, characterized by the cystic enlargement of lymphatic vessels in the dermis and subcutaneous tissue, are rarely reported in the scalp. We present the case of a 6-month-old male infant with occipital scalp swelling, whose ultrasonographic examination identified a multiseptated hypoechoic mass in the subcutaneous layer. Histologically, the tumor exhibited irregular, dilated spaces lined with a single layer of endothelial cells, showing D2-40 positivity. This represents a rare case of pediatric cavernous lymphangioma of the scalp, accompanied by a literature review.

Cavernous lymphangiomas, characterized by the cystic enlargement of lymphatic vessels in the dermis and subcutaneous tissue, are rarely reported in the scalp. We present the case of a 6-month-old male infant with occipital scalp swelling, whose ultrasonographic examination identified a multiseptated hypoechoic mass in the subcutaneous layer. Histologically, the tumor exhibited irregular, dilated spaces lined with a single layer of endothelial cells, showing D2-40 positivity. This represents a rare case of pediatric cavernous lymphangioma of the scalp, accompanied by a literature review.

Cavernous lymphangiomas, characterized by the cystic enlargement of lymphatic vessels in the dermis and subcutaneous tissue, are rarely reported in the scalp. We present the case of a 6-month-old male infant with occipital scalp swelling, whose ultrasonographic examination identified a multiseptated hypoechoic mass in the subcutaneous layer. Histologically, the tumor exhibited irregular, dilated spaces lined with a single layer of endothelial cells, showing D2-40 positivity. This represents a rare case of pediatric cavernous lymphangioma of the scalp, accompanied by a literature review.

Cavernous lymphangiomas, characterized by the cystic enlargement of lymphatic vessels in the dermis and subcutaneous tissue, are rarely reported in the scalp. We present the case of a 6-month-old male infant with occipital scalp swelling, whose ultrasonographic examination identified a multiseptated hypoechoic mass in the subcutaneous layer. Histologically, the tumor exhibited irregular, dilated spaces lined with a single layer of endothelial cells, showing D2-40 positivity. This represents a rare case of pediatric cavernous lymphangioma of the scalp, accompanied by a literature review.

Lichen planopilaris (LPP) is a follicular variant of lichen planus, typically occurring on the scalp. A 61-year-old man presented with asymptomatic pigmented atrophic patches on his chin. Dermoscopy showed reticular hyperpigmentation and perifollicular hyperkeratosis. A punch biopsy revealed follicular plugging, perifollicular lymphocytic infiltration, vacuolar degeneration of the follicular basal cell layer, mild interface dermatitis, and melanophages. Direct immunofluorescence testing was negative, leading to a diagnosis of facial LPP. Some have classified similar cases as facial LPP, while others have reported them as a follicular variant of lichen planus pigmentosus. This report explores the question of whether these cases should be classified as facial LPP, or as a follicular variant of lichen planus pigmentosus, or as conditions encompassed within the spectrum of these two disorders, with a comprehensive literature review.

Lichen planopilaris (LPP) is a follicular variant of lichen planus, typically occurring on the scalp. A 61-year-old man presented with asymptomatic pigmented atrophic patches on his chin. Dermoscopy showed reticular hyperpigmentation and perifollicular hyperkeratosis. A punch biopsy revealed follicular plugging, perifollicular lymphocytic infiltration, vacuolar degeneration of the follicular basal cell layer, mild interface dermatitis, and melanophages. Direct immunofluorescence testing was negative, leading to a diagnosis of facial LPP. Some have classified similar cases as facial LPP, while others have reported them as a follicular variant of lichen planus pigmentosus. This report explores the question of whether these cases should be classified as facial LPP, or as a follicular variant of lichen planus pigmentosus, or as conditions encompassed within the spectrum of these two disorders, with a comprehensive literature review.

Lichen planopilaris (LPP) is a follicular variant of lichen planus, typically occurring on the scalp. A 61-year-old man presented with asymptomatic pigmented atrophic patches on his chin. Dermoscopy showed reticular hyperpigmentation and perifollicular hyperkeratosis. A punch biopsy revealed follicular plugging, perifollicular lymphocytic infiltration, vacuolar degeneration of the follicular basal cell layer, mild interface dermatitis, and melanophages. Direct immunofluorescence testing was negative, leading to a diagnosis of facial LPP. Some have classified similar cases as facial LPP, while others have reported them as a follicular variant of lichen planus pigmentosus. This report explores the question of whether these cases should be classified as facial LPP, or as a follicular variant of lichen planus pigmentosus, or as conditions encompassed within the spectrum of these two disorders, with a comprehensive literature review.

Lichen planopilaris (LPP) is a follicular variant of lichen planus, typically occurring on the scalp. A 61-year-old man presented with asymptomatic pigmented atrophic patches on his chin. Dermoscopy showed reticular hyperpigmentation and perifollicular hyperkeratosis. A punch biopsy revealed follicular plugging, perifollicular lymphocytic infiltration, vacuolar degeneration of the follicular basal cell layer, mild interface dermatitis, and melanophages. Direct immunofluorescence testing was negative, leading to a diagnosis of facial LPP. Some have classified similar cases as facial LPP, while others have reported them as a follicular variant of lichen planus pigmentosus. This report explores the question of whether these cases should be classified as facial LPP, or as a follicular variant of lichen planus pigmentosus, or as conditions encompassed within the spectrum of these two disorders, with a comprehensive literature review.

Lipodermatosclerosis is a type of sclerosing panniculitis that typically affects the lower legs and is frequently associated with vascular dysfunction. The cause of lipodermatosclerosis is not clearly understood, but it is believed to be associated with chronic venous insufficiency, obesity, arterial hypertension, arterial ischemia, and thrombophlebitis. Furthermore, in patients with lipodermatosclerosis, not only deep venous incompetence but also calf muscle abnormality can be observed. Increased muscle fat infiltration is associated with spinal stenosis, which leads to a reduction in calf muscle pump function. Our patient, who is obese and has had spinal stenosis for a long time, presented with a sudden onset of heating sensational erythematous patch on the right lower leg. A muscle biopsy revealed fat infiltration, and an incisional biopsy confirmed the diagnosis of lipodermatosclerosis. Our case suggests that increased fat infiltration in the muscles, along with spinal stenosis, leads to calf muscle atrophy, potentially resulting in acute lipodermatosclerosis.