Presenter: Robert Levine, DO, Tara Whelan, DO, Suzanne Sirota-Rozenberg, DO, FAOCD
Dermatology Program: St John’s Episcopal Hospital, Far Rockaway, NY
Program Director: Marvin Watsky, DO, FAOCD
Submitted on: Aug 12, 2011
CHIEF COMPLAINT: “Rash on the feet”
Signs and symptoms: A 71-year-old male presented for follow up in a busy dermatology practice. He was being treated for about 6 weeks for suspected psoriasis with minimal improvement. He had mild pruritis and the rash seemed to be spreading.
Previous Treatment: topical steroids (mid-high potency), topical calcipotriene, topical antifungals (by prior physician)
Other information: He had no other contributing skin lesions. He is of Jewish Ashkenazi descent.
Superficial and deep dermal proliferation of small, angulated vessels lined by inconspicuous endothelial cells, suggestive of lymphatics. These ‘jagged’ vessels separate collagen bundles and are accompanied by a sparse infiltrate of lymphocytes and plasma cells.
2. Microvascular Hemangioma
3. Hobnail Hemangioma
4. Kaposiform Hemangioendothelioma
5. Spindle Cell Hemangioma