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Year : 1996  |  Volume : 62  |  Issue : 6  |  Page : 365-366

Capillary haemangioma

Correspondence Address:
Kalyan Chakravarty

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Source of Support: None, Conflict of Interest: None

PMID: 20948127

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A 16-year-old boy presented with a hyperpigmented, velvety, not compressible, plaque on the medial side of right leg just below the knee for the last 10 years. Biopsy report revealed the lesion was nothing but capillary haemangioma. The case is presented here due to unusual presentation with a tendency to persist.

Keywords: Capillary haemangioma, Unusual presentation

How to cite this article:
Chakravarty K. Capillary haemangioma. Indian J Dermatol Venereol Leprol 1996;62:365-6

How to cite this URL:
Chakravarty K. Capillary haemangioma. Indian J Dermatol Venereol Leprol [serial online] 1996 [cited 2019 Oct 19];62:365-6. Available from: http://www.ijdvl.com/text.asp?1996/62/6/365/4464

  Introduction Top

Capillary haemangioma consists of one or several bright red, soft, lobulated tumours. They usually first appear between the third week and fifth week of life, increase in size for several months upto 1 year and then start to regress.[1] Complete spontaneous resolution is common but ultimately 6% of capillary haemangiomas constitute a cosmetic handicap.

  Case Report Top

A 16-year-old Hindu male patient came to our out-patient department with the complaint of a hyperpigmented, velvety, plaque-like lesion on the medial side of right leg just below the knee which was present for the last 10 years. Initially the lesion was of the size of a pinhead and it gradually increased for the present size of 8 cm×5 cm. He gave the history of bleeding following trauma at the time he first noticed the lesion.

It was not associated with any history of pain but he complained of occasional pruritus. On examination, a well-defined, hyperpigmented lesion with sharp but irregular margin, firm in consistency with prominent skin markings was present. The lesion was not compressible. Routine examinations of blood, stool and urine were within normal limits. X-ray showed no bony involvement.

Histopathological examination revealed hypertrophic epidermis with hyperkeratosis and in mid-dermis and deep-dermis, newly formed capillaries were seen [Figure - 1], consistent with the diagonosis of capillary haemangioma.

  Discussion Top

Though complete resolution is common, ultimately 6% of capillary haemangioma constitute a cosmetic blemish.[2] Some authorities describe verrucous haemangioma as seperate entity,[3] but in our case histopathology was typical of capillary haemangioma. Verrucous appearance was not there and histopathological changes typical of verrucous haemangioma were also not present in this case.[4],[5]

  References Top

1.Lever WF, Lever GS. Histopathology of the skin. Philadelphia: J B Lippincott, 1990:690.  Back to cited text no. 1    
2.Bowers RE, Graham EA, Tomlinson KA. The natural history of the strawberry nevus. Arch Dermatol 1960;82:667-80.  Back to cited text no. 2    
3.Imperial R, Helwig FB. Verrucous hemangioma. Arch Dermatol 1967;89:247-53.  Back to cited text no. 3    
4.Pavithran K. Verrucous haemangioma. Ind J Dermatol Venereol Leprol 1989;55:265.  Back to cited text no. 4    
5.Cyriac MJ, Zachariah J, Harilal KR. Verrucous hemangioma. Ind J Dermatol Venereol Leprol 1990;56:145.  Back to cited text no. 5    


[Figure - 1]


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