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2015:81:5;543-544
doi: 10.4103/0378-6323.163806
PMID: 26323683

Purplish plaques on the leg of a 12-year-old boy

Rajesh Kumar Mandal1 , Sudip Kumar Ghosh2 , Abhijit Dutta3
1 Department of Dermatology, North Bengal Medical College, Siliguri, West Bengal, India
2 Department of Dermatology, Venereology and Leprosy, R.G. Kar Medical College, Kolkata, West Bengal, India
3 Department of Pediatric Medicine, North Bengal Medical College, Siliguri, West Bengal, India

Correspondence Address:
Sudip Kumar Ghosh
Department of Dermatology, Venereology, and Leprosy, 1, Khudiram Bose Sarani, Kolkata - 700 004, West Bengal
India
How to cite this article:
Mandal RK, Ghosh SK, Dutta A. Purplish plaques on the leg of a 12-year-old boy. Indian J Dermatol Venereol Leprol 2015;81:543-544
Copyright: (C)2015 Indian Journal of Dermatology, Venereology, and Leprology

A 12-year-old boy presented with a few purple skin lesions over his right leg. These lesions were present since birth and had progressively increased in size and number. Recurrent bleeding from the affected areas following trivial injury prompted his parents to seek medical advice. Examination revealed purple-colored, firm, non-compressible, non-tender, non-pulsatile plaques with verrucous surface and focal crusting, arranged linearly over the posterior aspect of his right leg. The plaques were of varying size and showed coalescence at places [Figure - 1]. There was no regional lymphadenopathy. Both lower limbs were equal in size and no bony abnormality was detected on X-ray of the legs. Systemic examination was normal. An incisional biopsy specimen was obtained from the lesional skin [Figure - 2], [Figure - 3], [Figure - 4].

Figure 1: (a and b) Purple-colored plaques with verrucous surface and focal crusting on the right leg
Figure 2: Ectatic blood vessels in the papillary and reticular dermis extending into the subcutaneous tissue. The overlying epidermis showed hyperkeratosis, acanthosis, and follicular plugging (H and E, ×40)
Figure 3: Marked hyperkeratosis, acanthosis, and follicular plugging. Numerous dilated blood vessels and mixed cellular infiltrate in the upper dermis (H and E, ×100)
Figure 4: Numerous dilated blood vessels in the papillary and reticular dermis extending into the subcutaneous tissue (H and E, ×400)

What Is Your Diagnosis?



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References
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Garrido-Ríos AA, Sánchez-Velicia L, Marino-Harrison JM, Torrero-Antón MV, Miranda-Romero A. A histopathologic and imaging study of verrucous hemangioma. Actas Dermosifiliogr 2008;99:723-6.
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