Poikilodermatous plaque-like hemangioma
The cause of PPLH is not known.
In the reported cases, lesions tended to persist and remained stable in size for up to 6 years.
D18.01 – Hemangioma of skin and subcutaneous tissue
271481007 – Hemangioma of skin and subcutaneous tissue
Differential Diagnosis & Pitfalls
- Poikilodermatous mycosis fungoides – Presents as multiple hypopigmented or hyperpigmented patches in younger patients on the trunk and flexural areas. This will show findings of cutaneous T-cell lymphoma on histology.
- Fixed drug eruption – Appears in the same location(s) every time the patient is exposed to a medication and resolves with discontinuation of the medication.
- Acrodermatitis chronica atrophicans – Presents as multiple lesions with a history of tick bite.
- Pigmented purpuric dermatoses – Present with irregular purpuric macules and plaques with pinpoint petechiae.
- Acquired elastotic hemangioma – Presents as a small, erythematous papule on sun-exposed areas of the upper extremities.
- Insect bite reaction
- Kaposi sarcoma