Angioma serpiginosum

A 14-year-old female presented to our outpatient department with a 5-day history of sudden onset of multiple well-defined, discrete to confluent, punctate, reddish-purple macules and papules on the anterior aspect of the left thigh Figure 1.On diascopy, lesions were non-blanchable.Dermoscopy showed multiple well-demarcated, round to oval reddish-purple lagoons arranged in a serpiginous pattern Figure 2.Histopathology Figure 3 revealed multiple dilated, thinwalled capillaries in the papillary dermis filled with red blood cells.Hence, based on clinical, dermoscopic, and histopathologic features, a diagnosis of Angioma serpiginosum was made.Angioma serpiginosum is a rare, benign, acquired, vascular condition presenting as violaceous to coppery red maculopapular eruptions arranged in a linear, gyrate, or serpiginous pattern on an erythematous background. 1It has a female preponderance and mainly affects the lower extremities and buttocks. 2ese asymptomatic progressive lesions usually start in early childhood and stabilise in adults.Some common differential diagnoses include capillary hemangioma, www.cosmoderma.org