title: Verrucous lymphangioma circumscriptum.
abstract: A 19-year-old woman with a seven-year history of pruritic, grouped, verrucous papules and plaques on the left arm presented for consultation. The lesion slightly flattened in appearance with topical glucocorticoid treatment. The histopathological features were consistent with lymphangioma circumscriptum. This entity is the most common subtype of lymphangioma and presents with grouped, clear vesicles that may appear pink to purple. However, a rare verrucous type can present a diagnostic challenge. Whereas the definitive treatment option is surgical excision, other treatments, which include sclerotherapy, radiotherapy, and laser therapy, have been reported to cause resolution or improvement. In the future, propranolol may hold promise as a medical therapy for lymphangioma.
authors.affiliation: The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, USA.
authors.forename: Vitaly
authors.initials: V
authors.lastname: Terushkin
authors.forename: Shoshana
authors.initials: S
authors.lastname: Marmon
authors.forename: Max
authors.initials: M
authors.lastname: Fischer
authors.forename: Rishi R
authors.initials: RR
authors.lastname: Patel
authors.forename: Miguel R
authors.initials: MR
authors.lastname: Sanchez
mesh_terms: D001132:Arm; D005260:Female; D006801:Humans; D008202:Lymphangioma / Q000473:pathology*; D011537:Pruritus / Q000209:etiology; D012878:Skin Neoplasms / Q000473:pathology*; D055815:Young Adult