[Verrucous hemangioma (neviform verrucous acrohemangioma)]

A case of verrucous haemangioma in a eighteen-years old patient, during her second pregnancy is reported. The lesions were localized on the dorsal aspect of the right foot and leg, simulating clinically the angiokeratoma circunscriptum naeviforme. The diagnosis was first firmed by the histologic features of the malformation on superficial, medial and deep dermis and a rough epidermic reactivity. It has been discussed the mean differential diagnosis and commented that those type of hemangiomatous lesions (macular and elevated lesions) plus varicosities, without hypertrophy of the limb, may represent a discrete form of Klippel-Trenaunay syndrome. The authors propose the name "Verrucous neviform acrohaemangioma" for those cases similar to this one and to make a difference from other type of haemangioma that became verrucous.