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 Table of Contents    
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
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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 2020 Nov 29];78:231. Available from:

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
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
6.Daley T. Acquired tufted angioma of the lower lip mucosa. J Can Dent Assoc 2000;66:137.  Back to cited text no. 6
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
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


  [Figure 1], [Figure 2], [Figure 3]

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