Turkderm-Turk Arch Dermatol Venereol. 2025; 59(1): 25-29 | DOI: 10.4274/turkderm.galenos.2024.39129

Tufted angioma masquerading as a granulomatous condition: A rare case report

Aliya Anjum Attar¹, Navakumar Manickam¹, Seethalakshmi Ganga vellaisamy¹, Yamini Mogalingam^2
1Department of Skin and Venereal Diseases, Vinayaka Missions Kirupananda Variyar Medical College & Hospital, Vinayaka Mission’s Research Foundation, Salem, Tamilnadu, India
²Helios Advanced Skin Hair & Laser Clinic, Pallavaram Cantonment, Chennai, Tamilnadu, India

Tufted angioma (TA) is an uncommon benign vascular tumor that manifests as erythematous macules, plaques, and nodules and progresses slowly. It is histopathologically characterized by tufts of endothelial cells in a cannonball pattern in the dermis. It primarily affects children and adolescents. A 12-year-old child presented to us with a single, painful, sizeable annular plaque on the right side of his neck that had been there since he was 5 years old. Lupus vulgaris, borderline tuberculoid Hansen, annular elastolytic giant cell granuloma, acquired hemangioma, and benign vascular tumors were all evaluated as differential diagnoses. Ultrasound of the neck revealed an ill-defined hypoechoic region on the right side of the neck with no extension into the deeper plane. TA was diagnosed based on histopathology. We report this case because of its uncommon clinical form of TA, which presented as a single large erythematous annular plaque resembling a granulomatous lesion, which was later confirmed by histological features.

Keywords: Angioma, histopathology, tufted angioma, vascular tumors

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Granülomatöz bir hastalýðý taklit eden tufted anjiyom: Nadir bir olgu sunumu

Aliya Anjum Attar¹, Navakumar Manickam¹, Seethalakshmi Ganga vellaisamy¹, Yamini Mogalingam^2
1Department of Skin and Venereal Diseases, Vinayaka Missions Kirupananda Variyar Medical College & Hospital, Vinayaka Mission’s Research Foundation, Salem, Tamilnadu, India
²Helios Advanced Skin Hair & Laser Clinic, Pallavaram Cantonment, Chennai, Tamilnadu, India

Tufted anjiyom (TA), eritematöz maküller, plaklar ve nodüller þeklinde ortaya çýkan ve yavaþ ilerleyen nadir bir benign vasküler tümördür. Histopatolojik olarak, dermiste cannonball paterni oluþturan endotel hücre demetleri ile karakterizedir. Öncelikle çocuklarý ve ergenleri etkiler. On iki yaþýndaki bir çocuk, 5 yaþýndan beri var olan, sað boynunda tek, aðrýlý ve büyük boyutlu halka þeklinde bir plak ile bize baþvurdu. Lupus vulgaris, borderline tüberküloid Hansen, halka þeklinde elastolitik dev hücreli granülom, edinilmiþ hemanjiyom ve benign vasküler tümörler ayýrýcý tanýlar olarak deðerlendirildi. Boyun ultrasonunda, sað boyunda derin plana uzanýmý olmayan, belirsiz sýnýrlý hipoekoik bir bölge tespit edildi. TA, histopatolojik bulgulara dayanarak teþhis edildi. Bu olguyu, histolojik bulgularla doðrulanan ve granülomatöz bir lezyonu andýran tek, büyük, eritematöz halka þeklinde bir plak olarak ortaya çýkan nadir bir TA klinik formu olmasý nedeniyle sunuyoruz.

Anahtar Kelimeler: Anjiyom, histopatoloji, tufted anjiyom, vasküler tümörler

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