Chitu Virginia 1, Furtunescu Florentina 2, Zurac A. Sabina 3, Giurcăneanu Dorina 1, Giurcăneanu C. 5, Stăniceanu Florica 3
1 Department of Dermatology, Colentina University Hospital, University of Medicine and Pharmacy Carol Davila Bucharest
2 Department of Public Health and Management,University of Medicine and Pharmacy Carol Davila Bucharest
3 Department of Pathology, Colentina University Hospital, University of Medicine and Pharmacy Carol Davila Bucharest
4 Department of Dermatology, Elias University Hospital, University of Medicine and Pharmacy Carol Davila Bucharest
Abstract
Background. The acquired hemangiomas can sometimes raise big clinical and dermoscopic diagnosis problems, it is not always possible to exclude a melanoma. Objectives. The identification of the clinical and dermoscopic features that lead to a more difficult diagnosis of acquired hemangioma. Method. A descriptive transversal study was performed on 23 patients, histopathologically diagnosed with hemangioma, who presented to our clinic, from January to December 2011, for a pigmented skin lesion that had a tendency to change. All the lesions were analyzed clinically and by dermoscopy (dimension, symmetry, chromatic, ulceration, crust, trauma). Results. Hemangiomas are lesions with a rich dermoscopic chromatic, of the 23 lesions in our study, 11 having 4 or 5 colors. The red color was present in 22 lesions, and the lacunar pattern in 13. The two lesions dermoscopically suspected for nodular melanoma lacked the lacunar pattern and presented a blue-white veil-like structure. Conclusions. Dermoscopy allows a relatively easy diagnose of hemangiomas when accompanied by the lacunar pattern, whose absence, together with the blue-white veil-like structure, the homogenous black areas generated by thrombosis create confusions with the melanoma.