Chiu Cheng-Sheng, Yang Li-Cheng, Hong Hong-Shang, Kuan Yue-Zon
Department of Dermatology, Chang Gung Memorial Hospital, Taipei, Taiwan.
J Dermatolog Treat. 2007;18(2):109-11. doi: 10.1080/09546630601028752.
Tufted angioma is a rare cutaneous angiomatous proliferation named because of its characteristic histologic pattern of grouped dermal capillary tufts. Lesions usually begin in infancy or early childhood but rarely are congenital. Clinical manifestations are dull red coalescent papules and plaques, most commonly located on the neck, shoulders, and upper back, and can sometimes be tender. Although transformation to malignancy has not been described, tufted angiomas do not tend to regress. Effective treatments reported in the literature are scarce. We report an adult case of tufted angioma, with unusual presentation as annular plaques, which was alleviated after treatment with intense pulsed light in terms of both cosmetics and discomfort.
簇状血管瘤是一种罕见的皮肤血管性增殖病变,因其特征性的组织学模式为成簇的真皮毛细血管而得名。病变通常始于婴儿期或儿童早期,但很少是先天性的。临床表现为暗红色融合性丘疹和斑块,最常见于颈部、肩部和上背部,有时会有压痛。虽然尚未有恶变转化的报道,但簇状血管瘤通常不会自行消退。文献中报道的有效治疗方法很少。我们报告一例成人簇状血管瘤病例,其表现为不寻常的环状斑块,经强脉冲光治疗后,在美观和不适症状方面均有所缓解。