Angioma serpiginosum: a report of 2 cases identified using epiluminescence microscopy

Arch Dermatol. 1999 Nov;135(11):1366-8. doi: 10.1001/archderm.135.11.1366.


Background: Angioma serpiginosum is a rare, acquired vascular lesion simulating purpura, and should be differentiated from purpuric dermatoses such as Henoch-Schonlein purpura.

Observations: We report 2 cases of angioma serpiginosum examined using epiluminescence microscopy. Characteristic findings of angiomas ("red lagoons") were observed entirely or focally in these 2 cases, but not in 4 cases of Henoch-Schonlein purpura and a case of senile purpura.

Conclusion: Epiluminescence microscopy is beneficial in distinguishing angioma serpiginosum from purpuric dermatoses.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Diagnosis, Differential
  • Erythema / pathology
  • Female
  • Humans
  • IgA Vasculitis / diagnosis
  • Luminescent Measurements
  • Male
  • Microscopy
  • Purpura / diagnosis
  • Telangiectasis / pathology*
  • Vasculitis, Leukocytoclastic, Cutaneous / diagnosis