Massa António Fernandes, Menezes Nuno, Baptista Armando, Moreira Ana Isabel, Ferreira Eduarda Osório
Centro Hospitalar de Vila Nova de Gaia, Espinho, Portugal.
An Bras Dermatol. 2015 Mar-Apr;90(2):262-4. doi: 10.1590/abd1806-4841.20153652.
Lymphangiomas are congenital lymphatic malformations and cutaneous lymphangioma circumscriptum is the most common type. It is clinically characterized by clusters of translucent vesicles and the presence of dermoscopically yellow lacunae surrounded by pale septa, as well as reddish to bluish lacunae. In our case, the recently described hypopyon-like feature manifested, aiding in the sometimes difficult differential diagnosis of cutaneous lymphangioma circumscriptum with vascular lesions, further highlighting the importance of dermoscopy in what can be a diagnostic challenge.
淋巴管瘤是先天性淋巴管畸形，局限性皮肤淋巴管瘤是最常见的类型。其临床特征为成簇的半透明水疱，在皮肤镜下表现为黄色腔隙，周围有淡色间隔，还有红色至蓝色腔隙。在我们的病例中，出现了最近描述的类似前房积脓的特征，有助于有时难以进行的局限性皮肤淋巴管瘤与血管病变的鉴别诊断，进一步凸显了皮肤镜在这一诊断挑战中的重要性。
