ABSTRACT
A 15-year-old boy with a diagnosis of generalized multiple glomangiomas was referred for evaluation and treatment of enlarging and increasingly painful lesions on his right ankle. The patient underwent a series of two treatments with long-pulsed KTP 1064 nm laser that resulted in substantial improvement in appearance and decreased pain. Generalized glomuvenous malformations, or multiple glomangiomas, are the less common presentation of proliferation of glomus cells and may have extracutaneous involvement. Whereas surgical management is often employed and definitive for solitary lesions, interventions such as laser therapy, may be beneficial for improvement of functional impairment and cosmesis as was observed in our patient.
Subject(s)
Glomus Tumor/genetics , Neoplasms, Multiple Primary/genetics , Neoplastic Syndromes, Hereditary/genetics , Skin Neoplasms/genetics , Adolescent , Ankle , Biopsy , Glomus Tumor/complications , Glomus Tumor/diagnosis , Glomus Tumor/radiotherapy , Headache/etiology , Humans , Internal Capsule/pathology , Lasers, Dye , Low-Level Light Therapy , Magnetic Resonance Imaging , Male , Skin Neoplasms/radiotherapy , Supratentorial Neoplasms/complications , Supratentorial Neoplasms/diagnosisABSTRACT
We present two cases of neonates born with symmetric aplasia cutis congenita associated with intrauterine fetal demise of cotwins during the early second trimester. Fetus papyraceus resulting in aplasia cutis congenita is a rare association with many clinical presentations, including extratruncal symmetric lesions and small linear, arcuate, and triangular lesions when twin intrauterine demise occurs after the first trimester.