All cases in Vascular Lesions

Strawberry hemangioma

Strawberry hemangioma

A 7-month-old male infant presented with a large oval nodular vascular swelling on the abdomen since birth. It has characteristic purplish color and with fissured surface having somehow peau d’ orange appearance. It has been treated with Timolol (beta-blocker) eye drops 0.5% applied twice daily and waiting the result.

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Livedo reticularis

Livedo reticularis

History

        A 24-year-old lady presented for the first time with cyanosis of the skin in a net-like or marbled appearance localized to the dorsal surface of both feet. She had no underlying hematological, connective tissue or other systemic disease.
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Unilateral acrocyanosis

Unilateral acrocyanosis

History

          A young lady (31-year-old) presented with an idiopathic unilateral cyanosis and swelling confined only to the right hand of more than one month duration. Her history was devoid on any underlying condition. Both vascular and skeletal systems of the neck, right shoulder girdle and upper extremity were norma.
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Buerger’s disease

Buerger’s disease

History

          A heavy-smoker man smoking more than two packs per day for more than 15 years suffered unilateral severe left foot pain after exercise for 6 months and one year later even at rest. Few months later ,an ulcer at the tip of the left big toe started to develop which increased in size gradually. On examination, a rounded ulcer having punched-out regular border with ischemic base was seen. Dorsalis pedis artery pulsation was negative on the affected side.Patient’s history was negative for diabetes mellitus, autoimmune diseases, thrombotic or embolic disorders. Angiography result was compatible with thromboangiitis obliterans.
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Acquired nevus flammeus

Acquired nevus flammeus

History

          A large unilateral nevus flammeus involved the right side of the face and part of the surrounding neck of four years duration in a 22-year-old female. No history of corticosteroid application to the involved site was given.
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