Multiple congenital vascular lesions in a childSir, A 6-year-old girl was referred to our department for evaluation of vascular lesions on her left forearm and chest that had been noticed at birth. They were asymptomatic and gradually increased with her age. Otherwise the child was healthy and had no history of gastrointestinal bleeding or hematuria. The family history was negative for similar lesions.Physical examination of the left forearm showed an indurated and bluish plaque with overlying coalescent blue and violaceous macules and papules [ Figure 1a]. On the left supramammary region she had two purplish patches with telangiectatic vessels on their surface [ Figure 1b]. The lesions were partially compressible and nontender to palpation and bruits were absent on auscultation.Laboratory values, including complete blood cell and platelet counts, were normal. The abdominal echography failed to detect any internal vascular lesion.Histopathologic examination revealed a normal epidermis and numerous dilated vascular spaces within the dermis. The thin endothelial cells of the Net LetterHow to cite this article: