Acquired Elastotic Hemangioma: A Case Report and Review of 49 Previously Reported Cases

Jeunon, Thiago; Stöfler, Maria E Carvalho Wagnes; Rezende, Patricia Teixeira; Castro, Marcelo Staccioli; Jeunon-Sousa, Maria Auxiliadora

doi:10.1097/dad.0000000000001479

Cited by 7 publications

(14 citation statements)

References 16 publications

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“…The age at diagnosis ranges from 50 to 82 yr (mean 64 yr) 3. The lesion is usually asymptomatic 1–3, and exceptionally painful 1,3. AEH is typically solitary, red to purple, well-defined, diascopy-negative, and slow-growing in the form of a patch or plaque 2.…”

Section: Discussionmentioning

confidence: 99%

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Acquired Elastotic Hemangioma-like Change of the Vulva Associated With Lichen Sclerosus

Val‐Bernal

Hermana

Aller

2021

International Journal of Gynecological Pathology

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Acquired elastotic hemangioma (AEH) is a rare variant of hemangioma that usually presents as an asymptomatic, solitary, slow-growing red plaque on a sun-exposed site of an adult. Ultraviolet radiation can contribute to the pathogenesis of this hemangioma. Lichen sclerosus (LS), a scarring disease, may present a prominent accumulation of elastic fibers in the reticular dermis reflecting a reparative process. Vulvar elastosis, a novel diagnostic entity with fibers similar to solar elastosis, is more common in women 45 yr and older and is related to aging and/or hormonal changes. We herein report for the first time a case of AEH-like change located in the vulva, a sun-protected area, associated with genital LS. An 81-yr-old woman presented with a painful vulvar lesion of 1-yr duration. Clinical examination revealed vulvar LS and 1 cm-flat, erythematous, well-defined plaque with increased consistency located on the left labium minus. Histopathology showed a non-neoplastic proliferation of WT1-positive, small vascular channels surrounded and intertwined by intense elastosis in the reticular dermis. Alpha-smooth muscle actin positive pericytes encircled the vascular channels. The lesion can be understood as a reparative process within an LS with the appearance of epidermal hyperplasia, proliferation of small vascular channels, and hyperplastic elastosis. There is a close link between epidermal hyperplasia and angiogenesis in the formation of this reparative lesion. Recognition of this lesion is crucial to avoid confusion with other significant processes especially Kaposi sarcoma and well-differentiated angiosarcoma.

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Section: Discussionmentioning

confidence: 99%

“…The lesion usually appears as an asymptomatic, solitary, slow-growing, well-demarcated, red plaque, localized on chronic sun-damaged skin of an adult (1). AEH mainly involves middle-aged and elderly patients and shows predilection for the forearms (1)(2)(3). Ultraviolet radiation may contribute to the pathogenesis of this hemangioma (2).…”

mentioning

confidence: 99%

Acquired Elastotic Hemangioma-like Change of the Vulva Associated With Lichen Sclerosus

Val‐Bernal

Hermana

Aller

2021

International Journal of Gynecological Pathology

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“…Representa una patología proliferativa vascular benigna, variedad clínico-patológica del hemangioma, poco frecuente. Se han publicado hasta ahora solo 50 casos 2 .…”

Section: Comentariosunclassified

“…Aparece en general en la sexta década de la vida. De los 50 casos comunicados, la patología afectó a personas de entre 50 y 82 años, con una media de edad de 64 años 2 . Este hecho es coincidente con nuestro hallazgo 2 , ya que nuestras pacientes tenían 75 y 68 años respectivamente.…”

Section: Comentariosunclassified

Hemangioma elastótico adquirido

Torchetti¹,

Loriente²,

García³

et al. 2021

Dermatol. Argent.

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El hemangioma elastótico adquirido (HEA) es una patología vascular benigna, poco frecuente y de reciente descripción. Se presenta en individuos de entre 50 y 82 años, con una incidencia similar entre hombres y mujeres. Desde su primera descripción, en 2002, solo se publicaron 50 casos. Comunicamos 2 casos de hemangioma elastótico adquirido observados en nuestro Servicio de Dermatología a los efectos de contribuir con la caracterización de esta entidad.

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“…In 2002, a new variant of cutaneous hemangioma called acquired elastotic hemangioma (AEH) was described by Requena and al. 1 All but 1 of the 50 cases collected by Jeunon et al in 2020 2 presented as a single lesion. We present a new case of AEH with multiple lesions on the forearm.…”

Section: Introductionmentioning

confidence: 97%