Department of Dermatology, Shanghai Dermatology Hospital, Shanghai, China.
Department of Dermatology, BP Koirala Institute of Health Sciences, Dharan, Nepal.
JNMA J Nepal Med Assoc. 2020 Oct 15;58(230):809-812. doi: 10.31729/jnma.5186.
Acquired elastotic hemangioma is a hemangioma variant which was first described in 2002. Usually it is characterized by being a benign, solitary, slow growing lesion and associated with solar exposure but here we discuss a case of 50 years old male from Australia, who had multiple pigmented and violaceous lesions on the back which he had noticed for 5 years. The cases of multiple lesions are reported few in the literature. The lesions had characteristic clinical dermatoscopic feature showing typical violaceous lesions with widespread shiny white structure without any vessels. Histopathology revealed band like proliferation of blood vessels involving superficial dermis arranged horizontally parallel to the epidermisalong with elastosis in dermis. Treatment was done through surgical excision with no relapse reported. Keywords: acquired elastotic hemangioma;basal cell carcinoma;elastosis.
获得性弹性纤维瘤样血管瘤是一种血管瘤变异，于 2002 年首次描述。通常表现为良性、单发、生长缓慢的病变，并与阳光暴露有关，但我们在此讨论了一名来自澳大利亚的 50 岁男性病例，他背部有多个色素沉着和紫色病变，他已经注意到 5 年了。文献中报道的多发性病变病例很少。病变具有特征性的临床皮肤镜特征，表现为典型的紫色病变，广泛分布着无任何血管的闪亮白色结构。组织病理学显示，血管呈带状增生，累及浅真皮，与表皮平行排列，真皮伴有弹性纤维变性。通过手术切除进行治疗，无复发报告。关键词：获得性弹性纤维瘤样血管瘤；基底细胞癌；弹性纤维变性。
