PMC6886627_01
Symmetrical massive lymphoedema, with thickened nodular skin and brownish pigmentation. (a) On the abdomen, multiple angiokeratomas (b) can be seen, which under dermatoscopy show red lacunae (c)
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PMC6886627_01_1269_Fig1.jpg
f1-1269-1-9685-1-10-20191022
His skin had a thickened nodular surface with brownish pigmentation (Fig. 1a). Multiple millimetre-sized back-reddish papules could be seen (Fig. 1b) on the abdomen, groin and inner aspects of both arms, which dermatoscopy revealed as red lacunae (Fig. 1c).
Angiokeratomas with superficial (upper dermis) vascular ectasia (a) and overlying epidermal hyperplasia (acanthosis and/or hyperkeratosis) (b)
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PMC6886627_01_1269_Fig2.jpg
f2-1269-1-9685-1-10-20191022
Histopathological examination revealed angiokeratomas underlying superficial (upper dermis) vascular ectasia (Fig. 2a) and epidermal hyperplasia (acanthosis and/or hyperkeratosis) (Fig. 2b).