Atypical angioma serpiginosum

Ju Hsin Chen, Kuo Hsien Wang, Jun-Hung Hu, Jainn Shiun Chiu

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20 Citations (Scopus)


Angioma serpiginosum is an uncommon, acquired vascular nevoid disorder with capillary dilation and proliferation in the papillary dermis. The eruptions are asymptomatic and characterized by grouped, crythematous to violaceous, serpiginous and punctate macules. The condition usually appears in females and during adolescence on unilateral lower extremities and the buttocks. We report a rare caso with a late onset and atypical distribution of lesions in a 48-year-old female patient who had groups of punctate lesions on her left foot for four to five years. Histopathological examination showed hyperkeratosis and multiple dilated and proliferated capillaries in the papillary dermis. Inflammation and extravasation of red blood cells were not found. According to the clinical and pathological findings, we established a diagnosis of angioma serpiginosum. She was treated with a pulsed dye laser, and the angiomatous lesions subsequently improved.

Original languageEnglish
Pages (from-to)509-513
Number of pages5
JournalYonsei Medical Journal
Issue number3
Publication statusPublished - Jun 2008


  • Angioma serpiginosum
  • Dye laser treatment
  • Purpura

ASJC Scopus subject areas

  • General Medicine


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