Acral microcystic lymphangioma: differential diagnosis in verrucous lesions of the extremities |
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Authors: | Jucá Natália Braga Hortêncio Crisóstomo Marília Gabriela Rocha Oliveira Luciana Maria Pereira de Cavalcante Harley Araújo Sousa Antônio Renê Diógenes de |
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Institution: | Dona Libania Dermatology Clinic (CDERM), Fortaleza, Ceará, Brazil. nataliabragah@yahoo.com.br |
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Abstract: | Lymphangiomas are a malformation caused by the abnormal migration of lymphatic tissue, leading to failures in the communication and drainage of the lymphatic system. They usually present as groups of translucent papules and vesicles in the skin or mucous membranes. Presentation as a verrucous plaque limited to a single toe is unusual and emphasizes the relevance of this case report. Although considered a benign lesion, depending on the site affected by the lymphangioma and its size, it may lead to localized pain or recurrent infections, substantially affecting the patient's quality of life. The present case report describes a patient with lymphangioma of late onset developing in adulthood in the form of a verrucous plaque confined to a single toe. Diagnosis of this unusual presentation could only be confirmed following histopathology. Surgical excision resulted in a satisfactory functional and cosmetic outcome. |
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