Multiple Verrucous Hemangiomas: A Case Report with New Therapeutic Insight

Autor: Preeti Sharma, Sidharth Tandon, Surabhi Sinha, Jasmeet Singh
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Indian Dermatology Online Journal
Indian Dermatology Online Journal, Vol 8, Iss 4, Pp 254-256 (2017)
ISSN: 2249-5673
2229-5178
Popis: Verrucous hemangioma is an uncommon congenital vascular malformation, which may clinically masquerade angiokeratoma, lymphangioma circumscriptum, or malignant melanoma. Differentiation is essential owing to varied therapeutic and prognostic implications. We present a rare case of multiple verrucous hemangiomas in a teenage girl who presented with multiple warty lesions over the dorsal aspect of the left foot since birth. Magnetic resonance imaging (MRI) scan was suggestive of a vascular malformation, and skin biopsy showed ectatic blood vessels extending from the papillary dermis into the subcutaneous tissue, diagnostic of verrucous hemangioma. A combination of 0.05% halobetasol propionate with 3% salicylic acid ointment was advised. This therapeutic intervention resulted in significant resolution of the warty lesions over a period of 2 months, following which surgical excision was performed. The implication is that we can use a combination of super potent topical steroid with salicylic acid as an adjunct to surgical resection.
Databáze: OpenAIRE