Dermoscopic Features of Cutaneous Lymphangioma Circumscriptum

Abstract

BACKGROUND: Cutaneous lymphangioma circumscriptum (CLC) is clinically characterized by clusters of translucent vesicles that may be filled by blood. OBJECTIVE: To evaluate the dermoscopic features of CLC. MATERIALS AND METHODS: Dermoscopic examination was performed in two cases presenting with discrete translucent and blood-tinged lesions. RESULTS: Lesions filled with clear fluid were dermoscopically characterized by light brown lacunas surrounded by paler septa. Lesions tinged with blood were associated with different dermoscopic features depending on the amount of blood content: focal reddish areas inside the lagoons, pink diffuse coloration, reddish to violaceous lacunar structures. CONCLUSIONS: On dermoscopy, CLC was characterized by a lacunar pattern. Lesions with a marked hematic content show dermoscopic findings indistinguishable from those of hemangioma.