10.5826/dpc.1304a205
text/xml
2160-9381
3199
en
Niti Khunger
https://creativecommons.org/licenses/by-nc/4.0
Dermatology Practical & Conceptual
Eccrine Angiomatous Nevus With Verrucous Hemangioma-like Characteristics: A Rare Case
Text.Serial.Journal
https://dpcj.org/index.php/dpc
Image Letter
2023-10-31
2023-01-30
2023-10-31
2024-01-15
e2023205
Dermatol Pract Concept
Niti Khunger
2023/10/31
10.5826/dpc.1304a205
e2023205
Department of Dermatology & STD, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India
2160-9381
en
e2023205
Liu L, Zhou L, Zhao Q, Wei D, Jiang X. Eccrine angiomatous hamartoma with verrucous hemangioma-like features–an unusual combination. Indian J Dermatol Venereol Leprol. 2021;87(6):842-844. DOI: 10.25259/IJDVL_195_2021. PMID: 34379948.
Eccrine Angiomatous Nevus With Verrucous Hemangioma-like Characteristics: A Rare Case
https://dpcj.org/index.php/dpc/article/download/3199/2363
      Eccrine Angiomatous Neavus With Verrucous
     Haemangioma-Like Characteristics: A Rare Case
                                                Prabin P. Dev1, Niti Khunger1


1 Department of Dermatology & STD, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India



Citation: Dev PP, Khunger N. Eccrine Angiomatous Neavus With Verrucous Haemangioma-Like Characteristics: A Rare Case. Dermatol
Pract Concept. 2023;13(4):e2023205. DOI: https://doi.org/10.5826/dpc.1304a205
Accepted: March 28, 2023; Published: October 2023
Copyright: ©2023 Dev et al. This is an open-access article distributed under the terms of the Creative Commons Attribution-
NonCommercial License (BY-NC-4.0), https://creativecommons.org/licenses/by-nc/4.0/, which permits unrestricted noncommercial use,
distribution, and reproduction in any medium, provided the original authors and source are credited.
Funding: None.
Competing Interests: None.
Authorship: All authors have contributed significantly to this publication.
Corresponding Author: Prabin P. Dev; Department of Dermatology & STD, Vardhman Mahavir Medical College & Safdarjung Hospital,
K-16, Green Park extension, South Delhi, India; Telephone: 9496669799 E-mail: drprabindev@gmail.com




Case Presentation                                                        these findings, a diagnosis of verrucous hemangioma like
                                                                         ­eccrine angiomatous nevus was made, and sclerotherapy was
A 10-year-old boy presented with two distinct reddish-purple             attempted with partial improvement.
plaques on his left calf, which had been present since birth
and were associated with hyperhidrosis (Figure 1A). On ex-
amination, there were two depressed erythematous to viola-               Teaching Point
ceous firm plaques, measuring approximately 5 cm x 3 cm
                                                                         Eccrine angiomatous hamartoma is an uncommon, benign pro-
and 1 cm x 1 cm. Dermoscopy revealed whitish striations
                                                                         liferation of eccrine glands and thin-walled vascular channels
and round lacunae on a prominent pinkish-blue background,
                                                                         on the dermis [1]. The commonest sites of involvement are the
surrounded by an area of hypopigmentation (Figure 1B).
                                                                         extremities, especially the palms and soles. Characteristic pap-
An ultrasound showed diffuse soft tissue thickening in the
                                                                         ules, plaques, and nodules are single, flesh-­colored, blue-brown,
subcutaneous plane. Histopathological examination showed
                                                                         or reddish in color. Pain and excessive sweating are two signs
epidermal hyperkeratosis and psoriasiform acanthosis, in
                                                                         of eccrine angiomatous hamartoma. Intriguingly, changes in
addition to increased numbers of normal eccrine glands and
                                                                         the epidermis were observed in the current case, is an unusual
small blood vessels in the mid and deep dermis. Based on
                                                                         finding in eccrine angiomatous hamartoma. The lesions seen in




Image Letter | Dermatol Pract Concept. 2023;13(4):e2023205                                                                               1
Figure 1. (A) Depressed erythematous to violaceous firm plaques on left calf. (B) Whitish striations and round lacunae on a prominent
­pinkish-blue background, surrounded by hypopigmentation (DermLite DL3N, dry, contact, polarized, x10)




our patient were more indicative of verrucous hemangiomas,          References
both clinically and dermoscopically. Verrucous hemangiomas
are characterized by their multiple, grouped plaques or nod-         1. Sanusi T, Li Y, Sun L, Wang C, Zhou Y, Huang C. Eccrine an-
                                                                        giomatous hamartoma: A clinicopathological study of 26 cases.
ules. Spitzoid or popcorn patterns are the dermoscopic features
                                                                        Dermatology. 2015;231(1):63-69. DOI: 10.1159/000381421
of eccrine angiomatous hamartomas, whereas reddish-blue or
                                                                        . PMID: 25895513.
bluish lacunae or dermal features with a bluish-white color are      2. Liu L, Zhou L, Zhao Q, Wei D, Jiang X. Eccrine angioma-
those of verrucous hemangiomas. There is a single case report           tous hamartoma with verrucous hemangioma-like features–an
in literature about dermoscopic characteristics of a verrucous          unusual combination. Indian J Dermatol Venereol Leprol.
hemangiomas like eccrine angiomatous hamartoma, which was               2021;87(6):842-844. DOI: 10.25259/IJDVL_195_2021. PMID:
                                                                        34379948.
similar to our case [2].




2                                                                          Image Letter | Dermatol Pract Concept. 2023;13(4):e2023205
