CASE 85

Angiokeratoma circumscriptum

QUESTION 85

A 3-year-old girl presents to the pediatric dermatology office as a referral for the evaluation of an enlarging vascular growth on her leg. The patient’s mother states that she initially thought it was a bruise but noticed that it slowly grew larger instead of regressing over time. It does not seem to bother the child. On physical examination, it was found that there is a plaque of grouped blue-purple papules on the left thigh that are confluent in some areas (85).

i. What are the five variants of this lesion? How does this lesion differ from other variants?

ii. What congenital disease(s) is/are associated with the development of multiple lesions?

iii. What are the treatment options?

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