Lymphangioma circumscriptum

From dermoscopedia

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Description Dermoscopy of lymphangioma circumscriptum
Author(s) Pedro Zaballos · Ignacio Gómez Martín
Responsible author Pedro Zaballos→ send e-mail
Status unknown
Status update August 15, 2017
Status by Ralph P. Braun


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Malformation involving primarily lymphatic vessels. Clinically, it appears as numerous small vesicle-like lesions grouped in a plaque.

Dermoscopy[1]:

Lacunar pattern composed of :

  • Clear to tan lacunae surrounded by pale septa if there is no inclusion of blood in the lacunae
  • Yellow to pink lacunae alternating with dark red or bluish lacunae, if there is inclusion of blood in the lacunae
  • Hypopyon-like feature (half and half blIster): a sign observed when the blood inside the lacunae accumulates in the lowest part of the lacunae due to sedimentation, resembling the appearance of the hypopion in the eye



References

  1. Gencoglan et al.: Hypopyon-like features: new dermoscopic criteria in the differential diagnosis of cutaneous lymphangioma circumscriptum and haemangiomas?. J Eur Acad Dermatol Venereol 2012;26:1023-5. PMID: 21645121. DOI.