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作 者:Balachandra Suryakant Ankad Sankappanavara Veeranna Smitha Sushila Nagur
机构地区:[1]Department of Dermatology,S.Nijalingappa Medical College,Bagalkot,Karnataka 587102,India
出 处:《International Journal of Dermatology and Venereology》2023年第4期236-238,共3页国际皮肤性病学杂志(英文)
摘 要:Introduction:Lymphangioma circumscriptum (LC) is characterized by malformation of superficial lymphatics.Dermoscopy reveals brownish-yellow lacunae and white septa.In scrotal LC,gray and red areas are also noted.Treatment of LC is challenging because of its high recurrence.Case presentation:A male patient presented with fluid-filled lesions on the scrotum after partial penectomy.Examination revealed multiple skin-colored vesicles containing serous fluid on either side of the scrotum.Dermoscopy showed brownish-yellow lacunae with white septa as specific patterns.A diagnosis of secondary LC was made based on the clinical and dermoscopic features,and the patient was treated with 0.1% topical sirolimus ointment.Discussion:Management of LC includes close follow-up.Sirolimus,by inhibiting cellular proliferation and angiogenesis,helps in the regression of vesicular lesions of LC.Furthermore,dermoscopy supports an accurate evaluation of the therapeutic response.Conclusion:Sirolimus is a promising topical agent in the treatment of LC.Dermoscopy comes handy in the evaluation of treatment response.Any residual lesions could be noted and treated accordingly.
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