Tufted Angioma of the Index Finger Middle Phalanx

Pfister, Brooke K; King, Erik; Samet, Jonathan D.; Gulliver, Jessica; Wolf, Sigrid F.

doi:10.5435/jaaosglobal-d-21-00301

Cited by 1 publication

(1 citation statement)

References 20 publications

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“…According to Osio et al, 14 there were three different clinical patterns of TA: TA without complications, TA complicated by Kasabach-Merritt syndrome (KMS) with thrombocytopenia, and TA without thrombocytopenia but with chronic coagulopathy. 2,14,15 The first clinical pattern of TA occurred with no complications. The second most frequent clinical pattern was TA complicated by KMS, presenting as expanding, indurated, tender, and painful inflammatory mass with coagulopathy.…”

Section: Discussionmentioning

confidence: 93%

Effectiveness of Pulsed Dye Laser Treatment in Tufted Angioma: A Promising Intervention

Dwiyana,

Lestari,

Effendi

et al. 2023

CCID

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Introduction Tufted angioma (TA) is a rare benign vascular tumor usually occurring in the first year of life. It may present as reddish papules or purplish red to black plaques. Tender lesions commonly affect the neck, upper trunk, and shoulders. Histologic tufts of capillaries infiltrating the dermis in a “cannon ball” distribution pattern confirm the diagnosis. However, effective treatments for TA are scarce. Pulsed dye laser (PDL) is an alternative therapy for TA, particularly concerning cosmetics and pain relief. This case report demonstrates the effectiveness of PDL as a treatment for TA. Case We report a 15-year-old girl with five-year history of painful purplish red plaques on her left cheek, neck, chest, left shoulder, and back. Histopathological examination from skin biopsy showed discrete “cannon ball” pattern in the dermis. Laboratory examination revealed normal platelet count and fibrinogen level. Based on these presentations, the diagnosis of TA without complications was made. We treated the lesion using 595-nm PDL with 6.5−10 J/cm 2 fluence of, 1.5 ms pulsed duration, and 5−7 mm spot size every three weeks. Reductions in redness and pain were seen after four sessions of treatment. Discussion PDL promotes selective vascular damage with minimal injury to the surrounding skin. Capillary tufts in TA could therefore serve as a target for laser treatment, which may result in fading redness and pain reduction. Conclusion PDL is effective in reducing redness and pain in TA.

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