[Translated article] Not All Is Infantile Hemangioma: An Erythematous Plaque in an Adult

Poikilodermatous Plaque-like Hemangioma: Case Presentation and Literature Review

“…PPH was described in 2019 in a paper that collected 16 cases from United Kingdom patients [ 1 ]. Since then, two more cases have been reported [ 2 , 3 ]. The case we present would therefore be number 19.…”

“…This scaly appearance prompted us to consider a diagnosis of squamous cell carcinoma in situ, despite the lesion being in a non-photoexposed area [ 4 ]. The most frequently described sites are the buttocks (5/22, 22.7%) and lower limbs (16/22, 72.7%), mainly the thigh (5/22, 22.7%), hip (4/22, 18.2%), and calf (3/22, 13.6%), although there is one case of involvement of the shoulder (1/22, 4.5%), which had two more lesions on the hip and buttocks [ 1 , 2 , 3 ]. The lesions described to date were asymptomatic and indolent, however, our case presented occasional episodes of bleeding, although without associated pain or pruritus.…”

“…Most cases have been reported in Northern England, suggesting possible environmental or infectious factors [ 1 ]. Comorbidities have been documented in only 5 patients, including myelodysplastic syndrome, pulmonary sarcoidosis, hypertension, and type-2 diabetes, making it challenging to establish a clear association between HPP and any specific disease [ 1 , 2 , 3 ]. Frequent occurrence on lower limbs, particularly in pressure-prone areas, could imply a role of sustained trauma or pressure in the etiology.…”

“…The longest reported follow-up is 6 years. It exhibits an initial phase of gradual growth, accompanied in our case by significant hyperkeratosis and bleeding episodes, followed by a stabilization phase where lesion growth ceases [ 1 , 2 , 3 ]. Subsequently, the lesion persists, with no reported cases of regression.…”

“…Poikilodermatous plaque-like hemangioma (PPH) is a recently described clinical-pathological entity, with only 18 reported cases in the literature [ 1 , 2 , 3 ]. PPH is characterized by consistent clinical and histological findings replicated across all cases.…”