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Targetoid Hemosiderotic Hemangioma With Spontaneous Remission And Recurrence In A Male Patient: A Case Report

Bhardwaj, M. 2024Other/Unknown

Bhardwaj, M., Meshram, R. J., Sardesai, A., & Goel, D. B. (2024). Targetoid Hemosiderotic Hemangioma With Spontaneous Remission and Recurrence in a Male Patient: A Case Report. Cureus, 16(8), e67339. https://doi.org/10.7759/cureus.67339

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Abstract

Targetoid hemosiderotic hemangioma is a rare, characteristic, benign lymphovascular lesion that usually affects the trunk and lower limbs. It has a diverse clinical appearance. Most affected people are in their 20s. A violaceous solitary papule encircled by a pale, narrow region and an ecchymotic ring peripherally, mimicking a target, is the most prevalent clinical characteristic. In many cases, the reported dermoscopic signs and patterns of hemosiderotic hemangioma have been found to be adequate for establishing a clinical diagnosis. The following is a case of a 23-year-old male presenting with blue-black vascular lesions on the lateral aspect of the right deltoid with a red ecchymotic ring. The 2×1 cm-sized lesion has a history of spontaneous remission and reappearance. Based on dermoscopic findings, a diagnosis of targetoid hemosiderotic hemangioma was made.

Case Details

Disease Location

Blood vessels/lymphatic vessels

Personal Characteristics

23-year-old male from utter pradesh

Clinical Characteristics

Presented with an asymptomatic vascular lesion on the deltoid region of his right arm for the past eight years. The lesion was blue-black, surrounded by a red ecchymotic ring. The lesion measured 2x1 cm and presented with a history of spontaneous resolution along with reappearances after two to three months of resolution. Dermoscopic examination showed a central blue-black area, which is surrounded and demarcated by a red homogenous area with vascular structures. The central lesion is margined by red borders through its circumference. Excisional biopsy revealed dilated blood vessels lined by hobnail epithelial cells along with hemosiderin depositions in the deeper dermis. The diagnosis of targetoid hemosiderotic hemangioma (thh) was made

Remission Characteristics

Presented with a history of spontaneous resolution along with reappearances after two to three months of resolution.

Treatment & Mechanisms

Clinical Treatment

Excisional and curative biopsy