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Acquired lymphangiomas mimicking multiple hallux warts.
Marco Diani1, Marco Turina2, Chiara Cozzi1
1Department of Dermatology and Venereology, I.R.C.C.S. Istituto Ortopedico Galeazzi, University of Milan - Milan, Italy.
Anais Brasileiros De Dermatologia
|December 22, 2017
Summary
Acquired lymphangiomas, benign vascular tumors of lymphatic vessels, can mimic warts. This case highlights a 52-year-old woman with acquired lymphangiomas on her feet presenting as wart-like lesions.
Area of Science:
- Dermatology
- Vascular Tumors
Background:
- Lymphangioma is a rare, benign vascular tumor originating from lymphatic vessels.
- It can be congenital or acquired, with acquired forms often resulting from lymphatic obstruction.
- These lesions do not pose a risk of malignant transformation but have a high recurrence rate post-excision.
Observation:
- A 52-year-old woman presented with keratotic lesions on her feet, clinically resembling warts.
- Swelling and papillomatous, wart-like papules were observed on both halluces.
- Initial clinical diagnosis suggested warts on the sole and papules on the halluces.
Findings:
- Excisional biopsy of the hallux papules revealed them to be lymphangiomas.
- The acquired lymphangiomas mimicked common warts in their clinical presentation.
- Histopathological examination confirmed the diagnosis of lymphangioma.
Implications:
- This case underscores the importance of considering lymphangioma in the differential diagnosis of wart-like lesions, particularly on the feet.
- Awareness of acquired lymphangioma's varied presentation can aid in earlier diagnosis and appropriate management.
- Further research into the specific etiologies and management strategies for acquired lymphangiomas presenting atypically is warranted.
