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Multiple Acquired Elastotic Hemangioma in a Single Patient: A Case Report
Pramisha Kharel1, Jia Chen1, Pukar Chapagain2
1Department of Dermatology, Shanghai Dermatology Hospital, Shanghai, China.
JNMA; Journal of the Nepal Medical Association
|September 10, 2021
Summary
Acquired elastotic hemangioma, a rare variant, typically presents as a single lesion. This case highlights multiple lesions, offering unique insights into its presentation and histopathology.
Area of Science:
- Dermatology
- Pathology
Background:
- Acquired elastotic hemangioma (AEH) is a rare vascular neoplasm, first described in 2002.
- AEH is typically a benign, solitary, slow-growing lesion associated with chronic sun exposure.
Observation:
- A 50-year-old male presented with multiple, pigmented, violaceous lesions on his back, noticed over 5 years.
- Dermatoscopic examination revealed violaceous lesions with shiny white structures and no visible vessels.
Findings:
- Histopathology confirmed a band-like proliferation of superficial dermal blood vessels parallel to the epidermis.
- Significant dermal elastosis was noted in conjunction with the vascular proliferation.
Implications:
- This case expands the clinical spectrum of AEH, emphasizing the possibility of multiple lesions.
- Understanding the dermatoscopic and histopathological features is crucial for accurate diagnosis and differentiation from other conditions like basal cell carcinoma.

