A Case Report of Late-Onset and Pregnancy-Related Tufted Angioma in Thailand

Authors

  • Monsiya Pongchomporn Institute of Dermatology Ministry of Public Health, Bangkok
  • Bensachee Pattamadilok Institute of Dermatology Ministry of Public Health, Bangkok

Keywords:

pregnancy, tufted angioma, Kasabach-Merritt syndrome

Abstract

Tufted angioma is a rare benign vascular tumor of the skin, usually occuring during infancy or childhood by either congenital or acquired causes. Adult onset has rarely been reported and pregnancy-related incidences are also infrequent. However, we reported a Thai woman with adult-onset, pregnancy-related tufted angioma. Such a case has seldom been seen in Thailand or even in world-wide medical literature. In our case, the patient presented with a slowly progressing lesion with tender, dull erythematous macules and papules which coalesced into patches and plaques with a mottled appearance on the right inframammary area. The lesion began when she was in the seventh month of pregnancy. She was later treated with vascular laser with excellent results.

References

1. Jones EW, Orkin M. Tufted angioma (angioblastoma). A benign progressive angioma, not to be confused with Kaposi's sarcoma or low-grade angiosarcoma. J Am Acad Dermatol 1989; 20: 214-25.

2. Heagerty AH, Rubin A, Robinson TW. Familial tufted angioma. Clin Exp Dermatol 1992;17:344-5.

3. Tille JC, Morris MA, Bründler MA, Pepper MS. Familial predisposition to tufted angioma: identification of blood and lymphatic vascular components. Clin Genet 2003; 63: 393-9.

4. Browing J, Frieden I, Baselga E, Wagner A, Metry D. Congenital, self-regressing Tufted angioma. Arch Dermatol 2006;142:749-51.

5. Ban M, Kamiya H, Kitajima Y. Tufted angioma of adult onset, revealing abundant eccrine glands and central regression. Dermatology 2000;201:68- 70

6. Pietroletti R, Leardi S, Simi M. Perianal acquired tufted angioma associated with pregnancy. Tech Coloproctol 2002;6:117-119.

7. Bernstein EF, Kantor G, Howe N, Savit RM, Koblenzer PJ, Uitto J. Tufted angioma of the thigh. J am Acad Dematol 1994;31:307-11.

8. Herron MD, Coffin CM, Vanderhooft SL. Tufted angiomas: Variability of the clinical morphology. Pediatr Dermatol 2002;19:394-401.

9. Osio A, Fraitaq S, Hadj-Rabia S, Bodemer C, de Prost Y, Hamel-Teillac D. Clinical Spectrum of tufted Angiomas in Childhood. Arch Dermatol 2010;146:758-763.

10. Wong SN, Tay YK. Tufted Angioma: A report of five cases. Paediatr Dermatol 2002;19:388-93.

11. Ishikawa K, Hatano Y, Ichikawa H, Hashimoto H, Fujiwara S. The spontaneous regression of tufted angioma - A case of regression after two recurrences and a review of 27 cases reported in the literature. Dermatology 2005;210:346-8.

12. Sihan MA. Deep presentation of a tufted angioma in an adult. Otolaryngology 2012;2.

13. McKenna KE, McCusker G. Spontaneous regression of a tufted angioma. Clin Exp Dermatol 2000;25:656-8.

14. Ferrandiz-Pulido C, Mollet J, Sabado C, Ferrer B, Garcia-Patos V. Tufted Angioma Associated with Kasabach-Merritt Phenomenon: A Therapeutic Challenge. Acta Derm Venereol 2010;90:535-7.

15. Chu CY, Hsian CH, Chiu HC. Transformation between kaposiform hemangioendothelioma and tufted angioma. Dermatology 2003;206:334-337.

16. Hoeger PH, Colmenero I. Vascular tumours in infants. Part II: vascular tumours of intermediate dignity and malignant tumours. Br J Dermatol 2014;171:466-73.

17. Robati RM, Hejazi S, Shakoei S, Bidari F. Lateonset tufted angioma with remarkable response to pulse dye laser. Indian J Dermatol 2014;59:635.

18. Mahendran R, White Si, Clark AH, Sheehan-Dare RA. Response of childhood tufted angioma to the pulse-dye laser J Am Acad Dermatol 2002;47:620-2.

19. Jasim ZF, Handley JM. Treatment of pulse dye laser-resistant port wine stain birthmarks. J Am Acad Dermatol 2007;54:677-82.

20. Tanzi EL, Lupton JR, Alster TS. Laser in dermatology:four decades of progress. J Am Acad Dermatol 2003;49:1-31.

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Published

2016-09-01

How to Cite

Pongchomporn, M., & Pattamadilok, B. (2016). A Case Report of Late-Onset and Pregnancy-Related Tufted Angioma in Thailand. Thai Journal of Dermatology, 32(3), 199–204. Retrieved from https://he02.tci-thaijo.org/index.php/TJD/article/view/159316