Diffuse dermal angiomatosisD18.0

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 05.08.2021

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Synonym(s)

Diffuse dermal angiomatosis: diffuse cutaneous angiomatosis

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HistoryThis section has been translated automatically.

Krell, 1994

DefinitionThis section has been translated automatically.

Rare, acquired, benign, skin-limited vascular proliferations with painful, often centrally exuded plaques and diffuse infiltrative growth pattern.

EtiopathogenesisThis section has been translated automatically.

Controversial. Discussed are the reactive, ischemia-induced proliferation of cutaneous capillaries, peripheral atherosclerosis and the formation of antibody-antibodies.

LocalizationThis section has been translated automatically.

Extremities, trunk, breast (mammae)

Clinical featuresThis section has been translated automatically.

Solitary or multiple, painful, often centrally ulcerated, brownish-livid, blurred, bizarre or flame-figure-like plaques. The lesions arise subacutely and spontaneously and may regress rapidly even without therapy. They are often found near surgical scars or dialysis shunts; also in areas with chronic venous insufficiency.

Diffuse dermal angiomatosis of the female breast occupies a special pathogenetic position (see Angiomatosis diffuse cutaneous of the female breast below).

HistologyThis section has been translated automatically.

Dense network of regularly structured capillary vessels that run through the entire corium. The vessels are formed by CD31- and CD34-positive endothelia and are surrounded by smooth muscle actin-positive pericytes in a cuff-shaped manner. Glomerular vascular structures and atypical endothelial mitoses are absent.

DiagnosisThis section has been translated automatically.

Clinic, Histology

Differential diagnosisThis section has been translated automatically.

TherapyThis section has been translated automatically.

Surgical restoration of the arterial blood supply. Trial with systemic glucocorticoids such as prednisolone (e.g. Decortin H) in medium dosages.

Progression/forecastThis section has been translated automatically.

Complete regression after restoration of the arterial blood supply. More rarely also spontaneous regression.

LiteratureThis section has been translated automatically.

  1. Frizzell MR et al (2020) Diffuse dermal angiomatosis localized to abdominal striae. Proc (Bayl Univ Med Cent) 33:419-421.
  2. Kim S et al (2002) Diffuse dermal angiomatosis: a variant of reactive angioendotheliomatosis associated with peripheral vascular atherosclerosis. Arch Dermatol 138: 456-458
  3. Kimyai-Asadi A (1999) Diffuse dermal angiomatosis: a variant of reactive angioendotheliomatosis associated with atherosclerosis. J Am Acad Dermatol 40: 257-259
  4. Krell JM et al (1994) Diffuse dermal angiomatosis. A variant of reactive cutaneous angiomatosis. J Cutan Pathol 21: 363 - 370
  5. Kutzner H et al (2002) Diffuse dermal angiomatosis. Dermatologist 53: 808-812
  6. Pichardo RO et al. (2002) What is your diagnosis? Diffuse dermal angiomatosis secondary to anticardiolipin antibodies. Am J Dermatopathol 24: 502-503
  7. Reusche R et al (2015) Diffuse dermal angiomatosis of the breast: a series of 22 cases from a single institution. Gland Surg 4:554-560.

  8. Sriphojanart Tet al (2015) Diffuse dermal angiomatosis: A Clue to the Diagnosis of Atherosclerotic Vascular Disease. Case Rep Dermatol 7:100-106.

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Last updated on: 05.08.2021