Diagnosis: Angioma Serpiginosum. Presented by Dr. Leslie P. Barker.
St. Luke's Hospital
Puerto Rican, female, aged 50, hospital accounting
Patient first noticed pinhead-sized, dark red spots appearing singly and in clusters on the left thigh 23 years ago. Since that time new patches of similar lesions have gradually appeared on the arms, breasts, buttocks, and abdomen. The individual patches gradually increased in size. They are more pronounced during the daytime and during the winter. Sometimes in the summer they are hardly noticeable but never completely disappear. The lesions are asymptomatic.General health has been excellent. No family history of similar condition.
On the left thigh, both arms, breasts, buttocks, and abdomen are dusky red to violaceous colored patches composed of pinheadsized punctate lesions; some are clustered in serpiginous arrangement with many outlying discrete pinhead-sized lesions. The individual plaques are several inches in diameter. There is slight
Kesten B, Canizares O. NEW YORK ACADEMY OF MEDICINE, SECTION ON DERMATOLOGY AND SYPHILOLOGY. Arch Dermatol. 1961;84(5):875–882. doi:10.1001/archderm.1961.01580170169027
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