Acquired elastotic hemangioma of the face: An effective treatment by oral propranolol

Authors

  • Thamir Kubaisi Department of Dermatology, College of Medicine, University of Anbar, Ramadi, Anbar, Iraq

Keywords:

Acquired elastotic hemangioma, hemangioma, oral propranolol, facial red patch

Abstract

Acquired elastotic hemangioma, is defined as a well-defined erythematous plaque affecting the sun-exposed parts with distinct pathological features. This article emphasized a case with a facial presentation of the disease and provided a challenging treatment with oral propranolol. Herein, a young woman presented with a single red patch localized in her chin for one year. It was characterized by an asymptomatic unpleasant-looking lesion. The 2 mm punch specimen revealed a band-like flat proliferation of vessels in the papillary dermis with a grenz zone and established the diagnosis of acquired elastotic hemangioma. Oral propranolol 40 mg twice daily was initiated and showed a marked response after 6 weeks. In conclusion, acquired elastotic hemangioma involving the face is rarely reported in the literature. It carries a tremendous cosmetic concern in young women; it's successfully treated by oral propranolol.

References

Requena L, Kutzner H, Mentzel T. Acquired elastotic hemangioma: a clinicopathologic variant of hemangioma. J Am Acad Dermatol. 2002;47(3):371-6.

Rejeb SB, Chelly I, Zehani A, Chelly B, Haouet S, Mokni M, et al. Acquired elastotic hemangioma: a diagnosis to keep in mind. Our Dermatol Online. 2017;8(4):443.

Jeunon T, Carvalho Wagnes Stöfler ME, Teixeira Rezende P, Staccioli Castro M, Jeunon-Sousa MA. Acquired elastotic hemangioma: A case report and review of 49 previously reported cases. Am J Dermatopathol. 2020; 42(4):244-50.

Goh S, Calonje E. Cutaneous vascular tumours: an update. Histopathology. 2008;52(6):661-73.

Cohen PR, Hinds BR. Acquired elastotic hemangioma: case series and comprehensive literature review. Cureus. 2017;9(12): e1994.

Martorell-Calatayud A, Balmer N, Sanmartín O, Díaz-Recuero JL, Sangueza OP. Definition of the features of acquired elastotic hemangioma reporting the clinical and histopathological characteristics of 14 patients. J Cutan Pathol. 2010;37(4):460-4.

Mendieta-Eckert M, Díaz-Ramón JL, Gardeazabal-García J. Response of an acquired elastotic hemangioma to vascular laser. Dermatol Surgry. 2018;44(1):136-7.

Sharquie KE, Noaimi AA, Radhi SK. Burn Hemangioma (BH)(scalded pyogenic granuloma) versus infantile hemangioma: report of six cases of bh and its effective therapy with oral propranolol. J Cosmet Dermatol Sci Appl. 2017;7(3):229-44.

Wine Lee L, Goff KL, Lam JM, Low DW, Yan AC, Castelo-Soccio L. Treatment of pediatric pyogenic granulomas using β‐adrenergic receptor antagonists. Pediatr Dermatol. 2014;31(2):203-7.

Tong PL, Beer TW. Acquired elastotic hemangioma: ten cases with immunohistochemistry refuting a lymphatic origin in most lesions. J Cutan Pathol. 2010;37(12):1259-60.

Sethuraman G, Yenamandra VK, Gupta V. Management of infantile hemangiomas: current trends. J Cutan Aesthet Surg. 2014;7(2):75.

Logger JG, Olydam JI, Driessen RJ. Use of beta-blockers for rosacea-associated facial erythema and flushing: a systematic review and update on proposed mode of action. J Am Acad Dermatol. 2020;83(4):1088-97.

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Published

2024-07-02

How to Cite

1.
Kubaisi T. Acquired elastotic hemangioma of the face: An effective treatment by oral propranolol . J Pak Assoc Dermatol [Internet]. 2024Jul.2 [cited 2024Dec.7];34(3):752-5. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/2535

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Section

Case Reports

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