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June 1997

Tufted Angioma: Is It the Same As Angioblastoma (Nakagawa)?

Author Affiliations

Department of Dermatology Seoul National University College of Medicine 28 Yongon-Dong, Chongno-Gu Seoul, Korea

Arch Dermatol. 1997;133(6):789. doi:10.1001/archderm.1997.03890420135025

I read with interest the recent article by Lockman et al1 in the June 1996 issue of the Archives. Tufted angioma was first described by Wilson Jones in 1976. The tumor was characterized by acquired, slowly spreading, erythematous macules and plaques, often with a deep nodular component. Microscopically, groups of capillary tufts, many uncanalized, were found dispersed at various levels in the dermis. In 1989, Jones and Orkin2 described 20 patients with similar tumors, including 3 patients thought to have had a blemish at birth, and termed these lesions tufted angioma instead of acquired tufted angioma.

Angioblastoma was first described as a variant hemangioma by Nakagawa3 in 1949. It has been suggested that this benign tumor is composed of undifferentiated, atypical mesenchymal cells with a tendency to form lumina. Most cases of angioblastoma have been described only in the Japanese literature. Kumakiri et al4 demonstrated crystalline