To our knowledge, this is the third case of granulomatous body reaction against this substance, which was allegedly inert in humans. Although rare, this reaction can have important aesthetic implications, and the patients should be informed about their risks.
A distinctive clinical entity of acute genital ulcers occurring in adolescents, with nonvenereal infectious etiology was described by Lipschütz in 1913. We describe four puberal virgin girls who developed fever and painful genital ulcers. The main causes infectious and noninfectious of ulceration were rejected. Although the etiology is unknown, recent cases related with Epstein-Barr virus acute infection have been reported.
We report the case of a 35-year-old woman with deep-red asymptomatic macules on the
plantar and dorsal skin of the right great toe. Histopathologic fi ndings were
compatible with Angioma serpiginosum. Immunohistochemical stains for estrogens and
progesterone receptors were negative. Dermoscopy showed an erythematous parallel
ridge pattern with double rows of irregular dots and globules. We report an unusual
case of angioma serpiginosum with acral volar skin involvement. The dermoscopic
features described may aid in the diagnosis of AS in this specifi c skin area. Acral
volar skin involvement must be included in the clinical spectrum of Angioma
serpiginosum and in the differential diagnosis of acral vascular lesions.
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