10.5826/dpc.1202a47
text/xml
2160-9381
1845
en
Esmeralda Silva Diaz
https://creativecommons.org/licenses/by-nc/4.0
Dermatology Practical & Conceptual
Thoracic "Frog Roe" With Zosteriform Distribution
Text.Serial.Journal
https://dpcj.org/index.php/dpc
Image Letter
2022-05-02
2021-06-25
2022-05-02
2022-05-24
e2022047
Dermatol Pract Concept
Esmeralda Silva Diaz
2022/05/02
10.5826/dpc.1202a47
e2022047
Dermatology Department, Hospital Clínico Universitario, Valencia, Spain
2160-9381
en
e2022047
Thoracic "Frog Roe" With Zosteriform Distribution
https://dpcj.org/index.php/dpc/article/download/1845/1568
                    Dermatology Practical & Conceptual


   Thoracic Frog Roes With Zosteriform Distribution
 Leopoldo Fernández Domper, Manuel Ballesteros Redondo, José María Martín Hernández,
                               Esmeralda Silva Diaz


1 Dermatology Department, Hospital Clínico Universitario, Valencia, Spain.



Citation: Fernández Domper L, Ballesteros Redondo M, Hernández JMM, Silva Diaz E. Thoracic frog roes with zosteriform distribution.
Dermatol Pract Concept. 2022;12(2):e2022047. DOI: https://doi.org/10.5826/dpc.1202a47
Accepted: July 23, 2021; Published: April 2022
Copyright: ©2022 Fernández Domper 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: Leopoldo Fernández Domper, Dermatology Department, Hospital Clínico Universitario, Valencia, Spain. Avenida
Blasco Ibañez 17, 46010, Valencia, Spain. E-mail: lfernandezdomper@gmail.com




Case Presentation                                                       Teaching point
A 13-year-old female patient was referred to our department             “Hypopyon sign” is referred to the 2 shades of colors inside
for a thoracic lesion present since birth. The physical exam-           the lacunae (corresponding to dilated, thin-walled lymphatic
ination reveals grouped vesicles with clear and hematic con-            vessels located in the papillary dermis) due to the blood de-
tent similar to “frog roe”, with a subcutaneous component               posited at the lower side of them, due to the gravity effect,
and a zosteriform distribution (Figure 1A). She referred ep-            and it is a well described finding in circumscribed lymphan-
isodes of pain and increased soft tissue associated for a few           gioma [1,2]. Nevertheless, it is useful for the diagnosis of any
months ago. The polarized light dermoscopy showed pink                  vascular malformation with lymphatic component, as show
lacunae divided by white septa and polymorphic vessels.                 in our case.
Besides, the “hypopyon sign” was shown inside the lacunae
(Figure 1B). The magnetic resonance imaging study reported
mixed veno-lymphatic vascular malformation.




Image Letter | Dermatol Pract Concept. 2022;12(2):e2022047                                                                            1
Figure 1. (A) Clinical presentation as grouped vesicles with clear and hematic content similar to “frog roe” with a zosteriform distribution.
(B) Dermoscopy (polarised, 25x) of reddish lesions showing half-and-half lacunae demonstrating hypopyon-like features.




References                                                               2. Zaballos P, del Pozo LJ, Argenziano G, et al. Dermoscopy of
                                                                            lymphangioma circumscriptum: A morphological study of
 1. Gencoglan G, Inanir I, Ermertcan AT. Hypopyon-like features:            45 cases. Australas J Dermatol. 2018;59(3):e189–e193. DOI:
    New dermoscopic criteria in the differential diagnosis of cu-           10.1111/ajd.12668. PMID: 28752523.
    taneous lymphangioma circumscriptum and haemangiomas?
    J Eur Acad Dermatology Venereol. 2012;26(8):1023–1025.
    DOI: 10.1111/j.1468-3083.2011.04136.x. PMID: 21645121.




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