Angioma serpiginosum

Signs and symptoms

Patients usually have no symptoms at all, with no bleeding, discomfort, or inflammation related to the lesions, which mostly affect the lower limbs. Nonetheless, there have been sporadic cases of angioma serpiginosum in the face, hands, feet, and mucous membranes, among other places. According to typical descriptions, angioma serpiginosum has an erythematous backdrop with a purple to coppery-red punctate look that clusters together in serpiginous or gyrate patterns.

It is often observed that the illness progresses gradually, starting as little asymptomatic lesions that expand and coalesce with central clearing around the borders. In addition, the lesions often cease growing throughout puberty after a brief period of initial growth during childhood and stay stable until adulthood. Rarely, large areas are affected, and the symptoms appear later. There have been reports of acral or zosteriform distribution cases.

Causes

It is uncertain what specifically causes angioma serpiginosum. While some experts have suggested that angioma serpiginosum could be caused by pathophysiologic changes brought on by freezing temperatures, others have suggested that there might be a hereditary component involved.

Diagnosis

Skin biopsy is required for confirmation of an angioma serpiginosum diagnosis; however, diascopy and dermoscopy can be used to further examine the diagnosis.

Treatment

Experts have suggested laser therapy as the preferred course of treatment. There is no proof that topical therapies are beneficial.

References

References

1. James, William; Berger, Timothy; Elston, Dirk (2005). ''Andrews' Diseases of the Skin: Clinical Dermatology''. (10th ed.). Saunders. {{ISBN. 0-7216-2921-0.
2. Rapini, Ronald P.. (2007). "Dermatology: 2-Volume Set". Mosby.
3. (2023-11-05). "Angioma Serpiginosum". StatPearls Publishing.
4. (2006-07-18). "Angioma serpiginosum following the lines of Blaschko – an effective treatment with the IPL technology". Wiley.
5. (2016). "Angioma serpiginosum in a patchy and blaschkoid distribution: A rare condition with an unconventional presentation". Medknow.
6. (2018-02-09). "A 13-Year-Old Presenting With Recurrent Angioma Serpiginosum". SAGE Publications.
7. (2008). "Atypical Angioma Serpiginosum". Yonsei University College of Medicine.
8. (2021-03-02). "Angioma serpiginosum in zosteriform distribution on abdomen: A rare presentation". Wiley.
9. (2018). "Angioma serpiginosum in a bilateral distribution with acral involvement: An uncommon presentation". Scientific Scholar.
10. (2014). "Late onset angioma serpiginosum of the breast with co-existing cherry angioma". Medknow.