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Year : 2015  |  Volume : 81  |  Issue : 5  |  Page : 543-544

Purplish plaques on the leg of a 12-year-old boy


1 Department of Dermatology, North Bengal Medical College, Siliguri, West Bengal, India
2 Department of Dermatology, Venereology and Leprosy, R.G. Kar Medical College, Kolkata, West Bengal, India
3 Department of Pediatric Medicine, North Bengal Medical College, Siliguri, West Bengal, India

Date of Web Publication28-Aug-2015

Correspondence Address:
Dr. Sudip Kumar Ghosh
Department of Dermatology, Venereology, and Leprosy, 1, Khudiram Bose Sarani, Kolkata - 700 004, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.163806

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How to cite this article:
Mandal RK, Ghosh SK, Dutta A. Purplish plaques on the leg of a 12-year-old boy. Indian J Dermatol Venereol Leprol 2015;81:543-4

How to cite this URL:
Mandal RK, Ghosh SK, Dutta A. Purplish plaques on the leg of a 12-year-old boy. Indian J Dermatol Venereol Leprol [serial online] 2015 [cited 2020 Aug 5];81:543-4. Available from: http://www.ijdvl.com/text.asp?2015/81/5/543/163806


A 12-year-old boy presented with a few purple skin lesions over his right leg. These lesions were present since birth and had progressively increased in size and number. Recurrent bleeding from the affected areas following trivial injury prompted his parents to seek medical advice. Examination revealed purple-colored, firm, non-compressible, non-tender, non-pulsatile plaques with verrucous surface and focal crusting, arranged linearly over the posterior aspect of his right leg. The plaques were of varying size and showed coalescence at places [Figure 1]. There was no regional lymphadenopathy. Both lower limbs were equal in size and no bony abnormality was detected on X-ray of the legs. Systemic examination was normal. An incisional biopsy specimen was obtained from the lesional skin [Figure 2], [Figure 3], [Figure 4].
Figure 1: (a and b) Purple-colored plaques with verrucous surface and focal crusting on the right leg


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Figure 2: Ectatic blood vessels in the papillary and reticular dermis extending into the subcutaneous tissue. The overlying epidermis showed hyperkeratosis, acanthosis, and follicular plugging (H and E, ×40)


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Figure 3: Marked hyperkeratosis, acanthosis, and follicular plugging. Numerous dilated blood vessels and mixed cellular infiltrate in the upper dermis (H and E, ×100)


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Figure 4: Numerous dilated blood vessels in the papillary and reticular dermis extending into the subcutaneous tissue (H and E, ×400)


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  References Top

1.
Garrido-Ríos AA, Sánchez-Velicia L, Marino-Harrison JM, Torrero-Antón MV, Miranda-Romero A. A histopathologic and imaging study of verrucous hemangioma. Actas Dermosifiliogr 2008;99:723-6.  Back to cited text no. 1
    
2.
Yasar A, Ermertcan AT, Bilac C, Bilac DB, Temiz P, Ozturkcan S. Verrucous hemangioma. Indian J Dermatol Venereol Leprol 2009;75:528-30.  Back to cited text no. 2
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3.
de França ER, Gurgel A, Campos T, Souza JA, França K, Azevedo R. Verrucous hemangioma. An Bras Dermatol 2006;81:S290-2.  Back to cited text no. 3
    
4.
Weedon D. Skin Pathology. 3 rd ed. Philadelphia: Churchill Livingstone-Elsevier; 2010.  Back to cited text no. 4
    
5.
Clairwood MQ, Bruckner AL, Dadras SS. Verrucous hemangioma: A report of two cases and review of the literature. J Cutan Pathol 2011;38:740-6.  Back to cited text no. 5
    


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