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European Journal of Plastic Surgery

, Volume 36, Issue 5, pp 323–326 | Cite as

Lobular capillary hemangioma in a post-burn scar

  • S. S. ShirolEmail author
  • Geeta Nimbaragi
  • S. M. Choukimath
  • V. V. Yenni
Case Report

Abstract

Hemangioma is a benign proliferation of endothelial cells within the superficial dermis, the deep dermis, internal organs and subcutis, or in both locations. It is classified as “capillary”, “cavernous”, or “lobular” hemangiomas. It is commonly seen in children during birth. It is very rare that hemangioma is seen in post-burn hypertrophic scar. A 42-year-old female who was treated 1 year back for 40 % of second degree superficial to deep burns had come with a history of swelling over the scar in the chin area since 1 month. There was history of occasional bleeding from the lesion. There was no history of trauma or pain. On examination, a 6 × 4 cm compressible, nontender swelling consistent with hemangioma was seen over the chin scar. The patient was taken up for excision of the lesion, and the defect was covered by a split-thickness skin graft. The histopathological examination showed that all features are suggestive of lobular hemangioma.

Level of evidence: Level V, diagnostic study.

Keywords

Post-burn hemangioma Post-burn complication Lobular capillary hemangioma LCH Pyogenic granuloma 

Notes

Conflict of interest

None.

Patient consent

Patient provided a written consent for the use of her images.

References

  1. 1.
    Hunt SJ, Santa Cruz DJ (2004) Vascular tumors of the skin: a selective review. Semin Diagn Pathol 21(3):166–218PubMedCrossRefGoogle Scholar
  2. 2.
    Chen SY, Takeuchi S, Urabe K, Hayashida S, Kido M, Tomoeda H, Uchi H, Dainichi T, Takahara M, Shibata S, Tu YT, Furue M, Moroi Y (2008) Overexpression of phosphorylated-ATF2 and STAT3 in cutaneous angiosarcoma and pyogenic granuloma. J Cutan Pathol 35(8):722–730PubMedCrossRefGoogle Scholar
  3. 3.
    Vassilopoulos SI, Tosios KI, Panis VG, Vrotsos JA (2011) Endothelial cells of oral pyogenic granulomas express eNOS and CD105/endoglin: an immunohistochemical study. J Oral Pathol Med. 40(4):345–351PubMedCrossRefGoogle Scholar
  4. 4.
    Vasconcelos MG, Alves PM, Vasconcelos RG, da Silveira ÉJ, Medeiros AM, de Queiroz LM (2011) Expression of CD34 and CD105 as markers for angiogenesis in oral vascular malformations and pyogenic granulomas. Eur Arch Otorhinolaryngol 268(8):1213–1217PubMedCrossRefGoogle Scholar
  5. 5.
    Patrice SJ, Wiss K, Mulliken JB (1991) Pyogenic granuloma (lobular capillary hemangioma): a clinicopathoiogic study of 178 cases. Pediatr Dermatol 8(4):267–276PubMedCrossRefGoogle Scholar
  6. 6.
    Ceyhan M, Erdem G, Kotiloğlu E, Kale G, Talim B, Kanra G, Başaran I (1997) Pyogenic granuloma with multiple dissemination in a burn lesion. Pediatr Dermatol 14(3):213–215PubMedCrossRefGoogle Scholar
  7. 7.
    Momeni A-Z et al (1995) Multiple giant pyogenic granuloma in three patients burned by boiling hot milk. Int J Dermatol 34(10):707–710PubMedCrossRefGoogle Scholar
  8. 8.
    Browning JC, Eldin KW, Kozakewich HP, Mulliken JB, Bree AF (2009) Congenital disseminated pyogenic granuloma. Pediatr Dermatol 26(3):323–327PubMedCrossRefGoogle Scholar
  9. 9.
    Nagaraj V, Ratnakar KS, Hamza AAY (2001) Post burn cutaneous-lymphangioma, verrucous type. A case report. Bahrain Med Bull 23(3)Google Scholar
  10. 10.
    Shah M, Kingston TP, Cotterill JA (1995) Eruptive pyogenic granulomas: a successfully treated patient and review of the literature. Br J Dermatol 133(5):795–796PubMedCrossRefGoogle Scholar
  11. 11.
    Greene AK (2011) Management of hemangiomas and other vascular tumors. Clin Plast Surg 38(1):45–63PubMedCrossRefGoogle Scholar
  12. 12.
    Sud AR, Tan ST (2010) Pyogenic granuloma-treatment by shave excision and/or pulsed dye laser. J Plast Reconstr Aesthet Surg 63(8):1364–1368PubMedCrossRefGoogle Scholar
  13. 13.
    Ceyhan AM, Basak PY, Akkaya VB, Yildirim M, Kapucuoglu N (2007) A case of multiple, eruptive pyogenic granuloma developed in a region of the burned skin: can erythromycin be a treatment option? J Burn Care Res 28(5):754–757PubMedCrossRefGoogle Scholar
  14. 14.
    Liao WJ, Fan PS, Fu M, Gao TW, Liu YF, Ikeda S (2006) Clinicopathological and ultrastructural study of multiple lobular capillary hemangioma after scalding. Dermatology 213(1):34–36PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • S. S. Shirol
    • 1
    Email author
  • Geeta Nimbaragi
    • 2
  • S. M. Choukimath
    • 3
  • V. V. Yenni
    • 4
  1. 1.Department of Plastic SurgeryKIMS HubliKarnatakaIndia
  2. 2.HubliKarnatakaIndia
  3. 3.KIMS HubliKarnatakaIndia
  4. 4.Jeevan Diagnostic LaboratoryBelgaumIndia

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