Terushkin Vitaly, Marmon Shoshana, Fischer Max, Patel Rishi R, Sanchez Miguel R
The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, USA.
Dermatol Online J. 2012 Dec 15;18(12):9.
A 19-year-old woman with a seven-year history of pruritic, grouped, verrucous papules and plaques on the left arm presented for consultation. The lesion slightly flattened in appearance with topical glucocorticoid treatment. The histopathological features were consistent with lymphangioma circumscriptum. This entity is the most common subtype of lymphangioma and presents with grouped, clear vesicles that may appear pink to purple. However, a rare verrucous type can present a diagnostic challenge. Whereas the definitive treatment option is surgical excision, other treatments, which include sclerotherapy, radiotherapy, and laser therapy, have been reported to cause resolution or improvement. In the future, propranolol may hold promise as a medical therapy for lymphangioma.
一名19岁女性因左臂出现瘙痒性、群集性、疣状丘疹和斑块7年前来咨询。经外用糖皮质激素治疗后，皮损外观稍有扁平。组织病理学特征符合局限性淋巴管瘤。该实体是淋巴管瘤最常见的亚型，表现为群集性、清亮水疱，可能呈粉红色至紫色。然而，一种罕见的疣状类型可能带来诊断挑战。虽然最终的治疗选择是手术切除，但据报道其他治疗方法，包括硬化疗法、放射疗法和激光疗法，也可导致病情缓解或改善。未来，普萘洛尔可能有望成为淋巴管瘤的药物治疗方法。
