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Lymphangioma circumscriptum: treatment with hypertonic saline sclerotherapy
Joseph B Bikowski1, Anna Margarita G Dumont
1Department of Dermatology, Ohio State University, Columbus, Ohio, USA. drb@bikowskimd.com
Journal of the American Academy of Dermatology
|August 23, 2005
Summary
This case study explores hypertonic saline sclerotherapy for lymphangioma circumscriptum. The treatment effectively resolved superficial lymphangioma lesions with minimal side effects.
Area of Science:
- Dermatology
- Vascular Malformations
Background:
- Lymphangioma circumscriptum presents as superficial vesicles and papules.
- Lesions can be exacerbated by external stimuli like clothing friction.
Observation:
- A 38-year-old woman presented with a 5-year history of symptomatic lymphangioma circumscriptum.
- Biopsy confirmed lymphangioma circumscriptum, characterized by clear or hemorrhagic vesicles.
Findings:
- Treatment with 23.4% hypertonic saline sclerotherapy demonstrated significant resolution of lymphangioma circumscriptum.
- The patient experienced minimal side effects, including mild hyperpigmentation and decreased sensitivity.
Implications:
- Hypertonic saline 23.4% is a potentially effective treatment for superficial lymphangiomas.
- This sclerotherapy approach offers a viable option for the long-term management of lymphangioma circumscriptum.