呈线性分布的匐行性血管瘤：病例报告及文献复习
Angioma serpiginosum with linear distribution: case report and review of the literature.
作者信息
Kalisiak Mike S, Haber Richard M
机构信息
Division of Dermatology, University of Alberta, Edmonton, AB.
出版信息
J Cutan Med Surg. 2008 Jul-Aug;12(4):180-3. doi: 10.2310/7750.2008.07039.
BACKGROUND
Angioma serpiginosum is a vascular anomaly that classically presents in childhood and predominantly affects females.
OBJECTIVE
To present a case of a young woman with linear distribution of angioma serpiginosum and review the common clinical characteristics and presentation of this condition.
METHODS
Case report with skin biopsies and dermoscopic findings.
RESULTS
A clinical examination revealed numerous irregular punctate red macules in a linear distribution over the right arm. On dermoscopy, the lesions appeared as multiple sharply demarcated red lagoons. The histopathologic findings of dilated blood vessels in the papillary dermis with absence of other changes confirmed the diagnosis of angioma serpiginosum.
CONCLUSION
Angioma serpiginosum is a rare entity that can be distinguished by clinical and histopathologic examinations. Lack of recognition of this condition may lead to unnecessary investigations and delayed treatment.
背景
匐行性血管瘤是一种血管异常，典型表现于儿童期，主要累及女性。
目的
报告一例患有呈线状分布的匐行性血管瘤的年轻女性病例，并回顾该疾病的常见临床特征及表现。
方法
病例报告，包含皮肤活检及皮肤镜检查结果。
结果
临床检查发现右臂有许多呈线状分布的不规则点状红色斑疹。皮肤镜检查显示，病损表现为多个边界清晰的红色湖状区域。真皮乳头层血管扩张且无其他改变的组织病理学检查结果确诊为匐行性血管瘤。
结论
匐行性血管瘤是一种罕见疾病，可通过临床及组织病理学检查加以鉴别。对该疾病认识不足可能导致不必要的检查及治疗延误。
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