Case #10 Discussion

Summary: This is a pigmented, localized, intravascular surface lesion:   ~Pigmented – it is a localized blue-purple lesion   ~Intravascular lesion – blanches upon pressure Lesions to Exclude from Differential Diagnosis: Kaposi’s Sarcoma   ~Occurs in immunocompromised people   ~Not congenital Varix   ~Rarely occurs in early childhood   ~Typically not this large Lesions to Include in the Differential Diagnosis: Hemangioma Management: No treatment is necessary since the patient has no complaint.  Explain the lesion to the patient and that it can be surgically removed if it is traumatized or becomes a nuisance. Final Diagnosis: Hemangioma