PMC5726674_01
Case 1: blue-purple papules and nodules from a few millimeters to
almost 2cm, grouped in plaques of about 10cm on the epigastric
region
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On the right hemithorax, the lesions had a zosteriform pattern and, on the upper limbs, the lesions were sparse (Figures 1 and 2).
Case 1: lesions on the left hemithorax in a zosteriform pattern
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On the right hemithorax, the lesions had a zosteriform pattern and, on the upper limbs, the lesions were sparse (Figures 1 and 2).
Photomicroscopy of the skin. A and B: Superficial dermis
with area of vascular dilatation (Hematoxylin & eosin, X40 and
X100, respectively). C: A group of multiple dilated
vessels (Hematoxylin & eosin, X200). D: Vascular
wall with more than one layer of small, round, uniform cells, with
central round nuclei and eosinophilic pale cytoplasm (glomus cells)
(Hematoxylin & eosin, X400)
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Histopathology revealed multiple dilated vessels in the papillary dermis, whose walls had more than one layer of small, round, uniform cells with round and central nuclei and eosinophilic cytoplasm, characterizing glomus cells (Figure 3).
PMC5726674_02
Case 2: A: Telangiectasias, blue-purple small grouped
papules forming plaques of 5 cm on the medial aspect of the left
arm. B: Blue nodule with about 2 cm on the left
infraclavicular region
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There was also a blue 2-cm nodule on the left infraclavicular region (Figures 4 and 5).
Case 2: A and B: Telangiectasias, blue-purple grouped
papules of a few millimeters in diameter forming plaques on the
lateral aspect of the left foot and left ankle
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There was also a blue 2-cm nodule on the left infraclavicular region (Figures 4 and 5).