Acquired lymphangioma circumscriptum secondary to tuberculosis: A rare case report

Abstract

Lymphangioma circumscriptum is a benign lymphatic malformation that usually presents at birth or early childhood. Acquired oral lymphangioma has been reported secondary to radiation therapy and denture‐induced trauma due to damage to previously normal lymphatics. To the best of our knowledge, this is the first report of acquired oral lymphangioma due to childhood tuberculous adenitis.

Oral lymphangiomas: A rare presentation of two cases with dermoscopic findings

“…The less commonly involved sites include the soft palate, buccal mucosa, gingiva, floor of the mouth, and lips. [ 1 ] There are three types: (1) capillary lymphangioma simplex/superficial microcystic with cavities less than 2 cm 3 presenting as pink/flesh-colored clustered papules/vesicles resembling frog spawn, (2) cavernous lymphangioma/macrocystic with cavities more than 2 cm 3 presenting as subcutaneous rubbery nodules without surface/texture change, (3) cystic hygroma that are cystic and larger than cavernous lymphangiomas, commonly occurring in the head and neck regions, and (4) mixed variant having both microcystic and macrocystic components. [ 1 2 ]…”

“…Insults such as radiation therapy, denture-induced trauma, tuberculous adenitis, scrofuloderma, and intra-abdominal and pelvic surgery have been reported. [ 3 ]…”

An Atlas of Lumps and Bumps, Part 3

“…Acquired causes of lymphangioma circumscriptum include filariasis, tuberculosis, scrofuloderma, lymphogranuloma venereum, hidradenitis suppurativa, lichen planus, scleroderma, recurrent cellulitis, severe herpes simplex infection, Crohn disease, local surgery, and radiotherapy. [2][3][4][5][6][7][8] Congenital lymphangioma circumscriptum usually occurs at birth or shortly thereafter, while the acquired type can occur at an age. 7 Lymphangioma circumscriptum is characterized by clusters of vesicles resembling frog spawn.…”