title: A case of lymphangioma circumscriptum successfully treated with electrodessication following failure of pulsed dye laser.
abstract: Lymphangioma circumscriptum is the most common cutaneous lymphatic malformation. It presents as a well-circumscribed, localized region of vesicles that can ooze and drain lymphatic and sanguineous fluid. The vesicles cause significant morbidity and psychological distress from itching, pain, drainage, and secondary infection. We report a case of a 16-year-old female with a life-long history of a weeping, hemorrhagic, and painful lesion on her right buttock causing significant emotional distress. We initially attempted therapeutic treatment with pulsed dye laser. The lesion appeared unchanged after two trials and we subsequently used three sessions of electrodessication to cauterize the aberrant vessels. The lesion largely resolved without complications and is no longer causing pain or emotional distress.
authors.affiliation: The Mount Sinai School of Medicine, Department of Dermatology, New York, NY, USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Emer
authors.forename: Jaime
authors.initials: J
authors.lastname: Gropper
authors.forename: Stephanie
authors.initials: S
authors.lastname: Gallitano
authors.forename: Jacob
authors.initials: J
authors.lastname: Levitt
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D004564:Electrocoagulation / Q000379:methods; D005260:Female; D006801:Humans; D054025:Lasers, Dye / Q000627:therapeutic use; D008202:Lymphangioma / Q000473:pathology / Q000628:therapy*; D044148:Lymphatic Abnormalities / Q000175:diagnosis*; D012878:Skin Neoplasms / Q000473:pathology / Q000628:therapy*