Indexed with PubMed and Science Citation Index (E) 
Users online: 5879 
     Home | Feedback | Login 
About Current Issue Archive Ahead of print Search Instructions Online Submission Subscribe What's New Contact  
  Navigate here 
   Next article
   Previous article 
   Table of Contents
 Resource links
   Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
  Related articles
   [PDF Not available] *
   Citation Manager
   Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
* Registration required (free)  

  In this article
   Case Report
   Article Figures

 Article Access Statistics
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal


Year : 1996  |  Volume : 62  |  Issue : 6  |  Page : 381-382

Verrucous haemangioma

Correspondence Address:
H Hanumanthappa

Login to access the Email id

Source of Support: None, Conflict of Interest: None

PMID: 20948135

Rights and PermissionsRights and Permissions


A case of verrucous haemangioma in a 25-year-old male is reported for its rarity and not to be confused with any other verrucous naevi or infective conditions.

Keywords: Verrucous haemangioma, Excision

How to cite this article:
Hanumanthappa H. Verrucous haemangioma. Indian J Dermatol Venereol Leprol 1996;62:381-2

How to cite this URL:
Hanumanthappa H. Verrucous haemangioma. Indian J Dermatol Venereol Leprol [serial online] 1996 [cited 2020 Apr 7];62:381-2. Available from: http://www.ijdvl.com/text.asp?1996/62/6/381/4472

  Introduction Top

Verrucous haemangioma usually presents at birth, may appear later, even in adult life. They tend to start as well-defined, dark-red macular areas resembling port wine stains, sometimes developing into soft bluish-red vascular swellings. After some years, lesions take on their characteristic bluish-black hue and an increasingly verrucous surface. Recurrent bleeding and infection often cause the patient to seek medical advice for the first time at this stage.[1]

  Case Report Top

A 25-year-old male, by occupation an agriculturist, presented with history of hyperpigmented, erythematous and verrucous lesions of 15 years duration. The lesions appeared over dorsal aspect of left foot and progressed to extend up to middle of the calf region. There was history of occasional itching and bleeding. No history of trauma or loss of weight and appetite nor fever was found.

Cutaneous examination revealed multiple verrucous lesions arising on an erythematous base and few of them showing crusting and sero-purulent discharge, located over medial and dorsal aspect of right foot, ankle and inner aspect of leg[Figure:l]. Hairs, nails, mucous membranes were normal. Systemic examination was normal.

The following differential diagnosis were considered, tuberculosis verrucosa cutis, sporotrichosis, prurigo nodularis with secondary infection and verrucous haemangioma.

Routine investigations, X-rays of chest and left leg and foot were normal. Skin bispsy which showed hyperkeratosis, irregular acanthosis and papillomatosis with abundant, large vascular channels in the dermis was suggestive of verrucous haemangioma[Figure - 2]. Patient was put on antibiotic therapy to control secondary infection and was referred to plastic surgeon for excision.

  Discussion Top

Although verrucous haemangioma has distinctive clinical behaviour, the histology suggests that it is a variety of angiomatous naevus, with prominent secondary hyperkeratosis.[2] It takes the form of a single lesion or a group of lesions most characteristically occurring on the legs. A variant has been described in which multiple lesions occurred in a more disseminated distribution without evidence of systemic lesions.[1] Similar findings were seen in the present case.

Larger lesions do need grafting. Our patient was referred to a plastic surgeon, but he refused to undergo surgery. Recurrence is likely if the excision is inadequate in area or depth.[3]

  References Top

1.Cruces MJ, De la Torre C. Multiple eruptive verrucous haemangiomas. Dermatologica 1985;171:106-11.  Back to cited text no. 1  [PUBMED]  
2.Imperial R, Helwig EB. Verrucous haemangioma: a clinicopathologic study of 21 cases. Arch Dermatol 1967;96:247-53.  Back to cited text no. 2  [PUBMED]  
3.Atherton DJ. Naevi and other developmental defects. In: Champion RH, Burton JL, Ebling FJG, eds. Textbook of dermatology. Oxford : Blackwell, 1992:482-6.  Back to cited text no. 3    


[Figure - 1], [Figure - 2]


Print this article  Email this article
Previous article Next article


Online since 15th March '04
Published by Wolters Kluwer - Medknow