“…Similar vascular lesions that affect the subepidermal capillary network include, for example, (1) telangiectasias that vary from small punctate lesions to large geographic areas consisting of non-homogenously affected areas; (2) capillary malformations that can also be small or extensive, but which are usually more homogeneous, less bright in color, and darken with age; (3) atypical capillary malformations that are pinkish gray in color with a white halo, caused by a RASA1 mutation; and (4) faint capillary stains that can be encountered for example, as cutis marmorata telangiectatica congenita (CMTC) or associated with soft tissue and bony hypertrophy, such as in macrocephaly-capillary malformation (M-CM). 5 Because of the rarity of angioma serpiginosum and the limited number of affected individuals in the described X-linked family, it is impossible to say whether the lesions now described are the same as those defined by Hutchinson. On the basis of the clinical phenotype, the history of very slow progression of the lesions, and the presence of enlarged thick-walled capillaries in histological sections, the lesions in this X-linked family could be classified, following the ISSVA classification, under capillary anomalies or further defined as progressive patchy capillary malformations.…”