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NET QUIZ
Year : 2012  |  Volume : 78  |  Issue : 2  |  Page : 231

Reddish-brown plaque on the left buttock


1 Department of Dermatology, Jundishapur University of Medical Sciences, Ahvaz, Iran
2 Skin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Pathology, Jundishapur University of Medical Sciences, Ahvaz, Iran

Date of Web Publication9-Mar-2012

Correspondence Address:
Maryam Aliabdi
Department of Dermatology, Azadegan Street, Imam Khomeini Hospital, Ahvaz
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.93667

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How to cite this article:
Yaghoobi R, Aliabdi M, Feily A, Ranjbari N, Shahriari S. Reddish-brown plaque on the left buttock. Indian J Dermatol Venereol Leprol 2012;78:231

How to cite this URL:
Yaghoobi R, Aliabdi M, Feily A, Ranjbari N, Shahriari S. Reddish-brown plaque on the left buttock. Indian J Dermatol Venereol Leprol [serial online] 2012 [cited 2019 Jun 15];78:231. Available from: http://www.ijdvl.com/text.asp?2012/78/2/231/93667


A 2.5-year-old otherwise healthy boy presented to our department with an asymptomatic skin lesion originating from his left buttock since birth. The lesion had started as a small plaque 2.5 years back and later became progressive and advanced over the past 2 years. The general condition was good without any sign of growth retardation or developmental delay and there was no improvement with previous topical treatment such as steroid.

Physical examination showed a well demarcated reddish-brown plaque measuring 3.5 × 3.5 cm size on the left buttock. The lesion was firm and tender on palpation and hypertrichosis overlying its surface was noticed on close examination [Figure 1]. Review of systems was unremarkable. Complete blood cell count with differential and platelet count were all within normal limits. A skin biopsy was obtained for the histological examination [Figure 2] and [Figure 3].
Figure 1: Firm reddish-brown plaque with mottled appearance on the lateral aspect of left buttock

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Figure 2: Multiple lobules or tufts of vascular channels in dermis and subcutaneous tissue (H and E, ×20)

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Figure 3: Lobules or tufts of tumor made up of enlarged endothelial cells, without mitosis and atypicality (H and E, ×40)

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  Histopathology Top


Histopathologic examination showed multiple separated discrete lobules within the dermis giving rise to cannonball appearance reaching the subcutis. Each of these consisted of dilated thin-walled vascular channels forming in tufts, lined by enlarged fusiform endothelial cells filled by few RBCs. Epidermis was normal looking and no inflammation or mitotic activities was seen [Figure 2] and [Figure 3].


  What is your Diagnosis? Top




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  References Top

1.Ferrandiz-Pulido C, Mollet J, Sabado C, Ferrer B, Garcia-Patos V. Tufted angioma associated with Kasabach-Merritt phenomenon: A therapeutic challenge. Acta Derm Venereol 2010;90:535-7.  Back to cited text no. 1
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2.Osio A, Fraitag S, Hadj-Rabia S, Bodemer C, Prost YD, Hamel-Teillac D. Clinical spectrum of tufted angiomas in childhood: A report of 13 cases and a review of the literature. Arch Dermatol 2010;146:758-63.  Back to cited text no. 2
    
3.AL-Zaabi AM , Ghazarian D, Greenberg GR, Shaw JC. Eruptive tufted angiomas in a patient with Crohn's disease. J Clin Pathol 2005;58:214-6.  Back to cited text no. 3
    
4.Samra N, Das S, Roy AK. Annular tufted angioma. Indian J Dermatol Venereol Leprol 2007;73:435-6.  Back to cited text no. 4
    
5.Silva RS, Bressan AL, Nascimento LB, Kac BK, Azulay-Abulafia L. Tufted angioma and myofascial pain syndrome. An Bras Dermatol 2011;86:125-7.  Back to cited text no. 5
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6.Daley T. Acquired tufted angioma of the lower lip mucosa. J Can Dent Assoc 2000;66:137.  Back to cited text no. 6
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7.Alberola FT, Betlloch I, Montero LC, Nortes IB, Martínez NL, Paz AM. Congenital tufted angioma: Case report and review of the literature. Dermatol Online J 2010;16:2.  Back to cited text no. 7
    
8.Reddy IS, Anuradha SV, Swarnalata G. Congenital giant tufted angioma. Indian J Dermatol Venereol Leprol 2009;75:639.  Back to cited text no. 8
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9.Ateyya N, F Botros M, Abdo I, Foda S, Amer H, Saad S.Tufted angioma. Egypt Dermatol Online J 2005;1;9.  Back to cited text no. 9
    
10.Schaffer J, Fangman W, Bossenbroek N, Meehan AS, Kamino H. Tufted angioma. Dermatol Online J 2008;14;2.  Back to cited text no. 10
    
11.Wilmer A, Kaatz M, Bocker T, Wollina U. Tufted angioma. Eur J Dermatol 1999;9:51-3.  Back to cited text no. 11
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12.Le Huu AR, Jokinen CH, Rubin BP, Mihm MC, Weiss SW, North PE, et al. Expression of prox1, lymphatic endothelial nuclear transcription factor, in Kaposiform hemangio endothelioma and tufted angioma. Am J Surg Pathol 2010;34:1563-73.  Back to cited text no. 12
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    Figures

  [Figure 1], [Figure 2], [Figure 3]

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