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LCDR Steven L. Mackey, MC, USN; COL Kathleen J. Smith, MC; CDR Josef K. Yeager, MC, USN

Arch Pediatr Adolesc Med. 1994;148(6):609-610.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE ADOLESCENT boy pictured in the figures has had lesions in this area since birth. The vesicles, limited to the left shoulder and axilla, have enlarged and have become more numerous throughout these years. They are slightly pruritic. During the past 2 years, several of the vesicles have intermittently become hemorrhagic and have discharged clear fluid. The patient has been in excellent health. No other family members have similar lesions.

The vesicles are unilocular and multilocular, ranging from 1 mm to 5 mm, and involve the left posterior axilla and left lateral scapular area (Figure 1 and Figure 2). A prepared punch biopsy specimen is pictured in Figure 3 and Figure 4.

Denouement and Discussion

Lymphangioma Circumscriptum

Lymphangiomas are hamartomatous malformations made up of dilated lymphatic channels. The lesions have been subdivided into various types throughout the years, based primarily on appearance and extent of involvement. The most frequently used . . . [Full Text PDF of this Article]

Author Affiliations
USA

From the Department of Dermatology, National Naval Medical Center, Bethesda, Md (Drs Mackey and Yeager), and The Walter Reed Army Institute of Research, Washington, DC (Dr Smith).

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