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Cutaneous reactive angiomatosis with combined histological pattern mimicking a cellulitis.

Abstract
Cutaneous reactive angiomatoses (CRA) encompass a distinct group of rare benign reactive vascular proliferations that include reactive angioendotheliomatosis, diffuse dermal angiomatosis and reactive intralymphatic histiocytosis. The etiology of these conditions, often associated with either localized or systemic diseases, is poorly understood. We report a 72-year-old woman who presented giant diffuse cellulitis-like plaques on the right lower limb and the pelvis and a reduction of her general condition with fever. Light microscopy studies revealed combined features of reactive angioendotheliomatosis, diffuse dermal angiomatosis and reactive intralymphatic histiocytosis. A small arteriovenous fistula of the right lower leg was thought to act as trigger. Systemic corticosteroids resulted in the clinical remission of the skin lesions. Our observation provides strong evidence that reactive angioendotheliomatosis, diffuse dermal angiomatosis and reactive intralymphatic histiocytosis, previously regarded as distinct forms of CRA, may show overlapping histopathological features and most likely represent facets of the same disease.
AuthorsM A M Corti, F Rongioletti, L Borradori, H Beltraminelli
JournalDermatology (Basel, Switzerland) (Dermatology) Vol. 227 Issue 3 Pg. 226-30 ( 2013) ISSN: 1421-9832 [Electronic] Switzerland
PMID24107746 (Publication Type: Case Reports, Journal Article)
Copyright© 2013 S. Karger AG, Basel.
Chemical References
  • Anti-Inflammatory Agents
  • Prednisolone
  • Clobetasol
Topics
  • Aged
  • Angiomatosis (drug therapy, etiology, pathology)
  • Anti-Inflammatory Agents (therapeutic use)
  • Arteriovenous Fistula (complications, diagnosis)
  • Cellulitis (diagnosis)
  • Clobetasol (therapeutic use)
  • Diagnosis, Differential
  • Female
  • Fever (etiology)
  • Humans
  • Prednisolone (therapeutic use)
  • Skin Diseases (drug therapy, etiology, pathology)

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