ABSTRACT
A 7-month-old girl presented with a single rapidly enlarging thickly crusted lesion on her frontal scalp. Histology was consistent with a juvenile xanthogranuloma (JXG) with ulceration and surface crust formation. Reports of ulcerating, crusted lesions of JXG are rare and the few reports have been confined to giant forms or those involving mucosal sites. This unusual presentation delayed diagnosis. Our report highlights the great variability in clinical presentation of JXG and is a reminder to consider this diagnosis in the differential of any lesion developing in an infant, particularly on the head, neck and upper trunk.
Subject(s)
Scalp Dermatoses/diagnosis , Xanthogranuloma, Juvenile/diagnosis , Child , Diagnosis, Differential , Female , Humans , Infant , Scalp Dermatoses/pathology , Scalp Dermatoses/surgery , Xanthogranuloma, Juvenile/pathology , Xanthogranuloma, Juvenile/surgeryABSTRACT
A 58-year-old woman presented with a 5-week history of multiple widespread vascular lesions. Histological examination confirmed the clinical diagnosis of disseminated lobular capillary haemangioma. No underlying cause for this eruption could be found. The lesions resolved over the following 2 months without intervention. Reports of disseminated lobular capillary haemangioma are scarce in the literature. In general, this condition does not appear to be related to an underlying disorder and in particular is not a marker for underlying malignancy. No unifying concept as to the aetiology of disseminated lobular capillary haemangioma has been identified. The condition appears to follow a benign course, with spontaneous resolution over 6-12 months.