Acquired elastotic hemangioma of the face: An effective treatment by oral propranolol
DOI:
https://doi.org/10.66344/jpad.34.3.2024.2535Keywords:
Acquired elastotic hemangioma, hemangioma, oral propranolol, facial red patchAbstract
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, SanmartÃn O, DÃaz-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, DÃaz-Ramón JL, Gardeazabal-GarcÃa 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 βâ€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.
Downloads
Published
How to Cite
Issue
Section
License
Submission declaration
Authors retain the copyright to their work and grant the 'Journal of Pakistan Association of Dermatologists (JPAD)' the right of first publication under a Creative Commons Attribution 4.0 International (CC BY 4.0) license. This license allows others to share, adapt, and reuse the work for any purpose, including commercial use, as long as appropriate credit is given to the original authors and the journal.
By submitting a manuscript, authors confirm that the work has not been published previously (except as an abstract, lecture, or academic thesis), is not under review elsewhere, and has been approved by all authors and relevant authorities. Once accepted, the article will be openly accessible under the CC BY 4.0 license, ensuring wide dissemination and reuse with proper attribution.