Microcystic lymphatic malformation presenting as firm, skin‐colored papules of the lips. Issue 6 (23rd June 2022)

• Record Type: Journal Article
• Authors: Edminister, John R.; Zarbo, Allison; Seale, Lauren; Friedman, Ben J.; Shwayder, Tor
• Is Part Of: Pediatric dermatology. Volume 39:Issue 6(2022)
• Page Start: 992
• Page End: 994
• Publication Date: 2022-06-23
• Subjects: laser -- vascular malformation; Pediatric dermatology -- Periodicals; Children -- Diseases -- Periodicals; 618.925
• DOI: 10.1111/pde.15060
• Languages: English
• ISSNs: 0736-8046

Abstract

Abstract: Microcystic lymphatic malformation (MiLM), also known as lymphangioma circumscriptum, is a superficial collection of lymphatic vessels measuring <1 cm in the largest diameter, often with a more extensive deeper malformation. It commonly presents as discrete or grouped plaques of clear or hemorrhagic vesicles classically described as "frogspawn"; however, here we describe a case of its unique presentation as firm papules on the lips of a healthy six‐year‐old child. These skin‐colored papules in the absence of vesicles with lymphatic and/or hemorrhagic fluid may not be clinically indicative of MiLM. This case represents a diagnostic challenge due to the unique morphology of pink, fleshy papules as opposed to the clear or hemorrhagic vesicles typically observed in MiLM.