The cubital fossa region is vulnerable to severe phlebitis and is not recommended as the first site of choice for cannulation. Phlebitis of Baxter scale grade 4 or 5 should be considered for early surgical intervention.

he traditional treatment of lymphangioma circumscriptum (LC) is surgical removal.1 However, laser or hypertonic saline sclerotherapy are recommended as alternative procedures. [2][3][4] Recently, pulsed light (PL) therapy is used more frequently for the treatment of vascular lesions due to its noninvasiveness, ease of use, and short recovery time. 5,6 Advanced fluorescence technology (AFPL) is a novel pulsed light technology, and it can be used for photodamaged of pigmented or vascular lesions of the skin.7,8 Herein, we report a case who presented with LC in an unusual area, the glans penis, and the management with AFPL.Turkiye Klinikleri J Med Sci 2010;30 (4) 1417 Lymphangioma Circumscriptum of the Glans Penis Treated with Advanced Fluorescence Technology Pulsed Light Therapy: Case Report A AB BS S T TR RA AC CT T Lymphan gi o ma cir cums crip tum (LC) of the glans pe nis is an ex tre mely ra re si tu a ti on. A 34-ye ar-old man was re fer red to us with mul tip le le si ons on the glans pe nis. On exa mi na ton, mul tip le, dark red-co lo red pa pu lar le si ons we re se en on the glans pe nis. Punch bi opsy was ob ta ined, and the di ag no sis was ma de with his to pat ho lo gi cal exa mi na ti on. Pa ti ent was tre a ted with advan ced flu o res cen ce tech no logy pul sed light (AFPL) (Har mony 540 nm, msq co. Al ma) the rapy. Alt ho ugh comp le te im pro ve ment was ac hi e ved af ter thre e ses si ons of AFPL the rapy, re cur ren ce was ob ser ved af ter ni ne months. No comp li ca ti ons was ob ser ved du ring the pro ce du res. We sug gest that AFPL the rapy might be con si de red as an al ter na ti ve tre at ment op ti on for LC of the glans penis, ho we ver, pa ti ents sho uld be in for med abo ut the pos si bi lity re cur ren ce.K Ke ey y W Wo or rd ds s: : Lymphan gi o ma; pe nis; la ser the rapy Ö ÖZ ZE ET T Glans pe ni sin len fan ji o ma sir kums krip tu mu (LC) ol duk ça na dir gö rü len bir du rum dur. Otuz dört ya şın da ki er kek has ta glans pe nis te çok sa yı da kı za rık lık şika ye ti ne de niy le baş vur du. Has tanın fi zik mu a ye ne sin de, glans pe nis te çok sa yı da ko yu-kır mı zı pa pül sap tan dı. Has ta dan punch bi op si alın dı ve ta nı his to pa to lo jik de ğer len dir me ile kon du. Has ta ya ad van ced flu o res cen ce techno logy pul sed light (AFPL) (Har mony 540 nm, msq co. Al ma) te da vi si uy gu lan dı. İş lem ler sı ra sın -da her han gi bir komp li kas yon gö rül me di. Üç se ans AFPL te da vi si son ra sı tam iyi leş me ol ma sı na rağ men do kuz ay son ra nüks gö rül dü. AFPL te da vi si glans pe ni sin len fan ji o ma sir kums krip tu mu için al ter na tif bir te da vi ola rak dü şü nü le bi lir, bu nun la bir lik te, has ta lar nüks ge liş me si ola sı lı ğı açı sın -dan bil gi len di ril me li dir.

Membranous lipodystrophy is a distinct type of membranocystic fat necrosis. It is associated with many local and systemic diseases, including vascular disorders. The histopathological changes which characterize this phenomenon are variably sized cysts in the fat lobules of the subcutaneous tissue, which are surrounded by eosinophilic membranes projecting into the cystic space. We report a case of secondary membranous lipodystrophy associated with both hypertension and venous insufficiency.