Vascular Lesions

Question 1

benign vascular tumor (proliferation of endothelial tissue); bright-red plaque; MOST common tumor among infants, especially females and prematurity; critical that PCP recognize this for early treatment

Answer 1

Infantile Hemangioma

Question 2

When does the most growth occurs for infantile hemangiomas?

Answer 2

first 3-5 months of life

Question 3

Treatment for Infantile Hemangioma

Answer 3

Usually involute by early elementary school; maybe beta blockers

Question 4

Congenital capillary malformation; well-demarcated, large red patch usually FACE, deepens in color and thickens over time; location can determine complications; often segmental distribution

Answer 4

Port Wine Stain

Question 5

a neurological disorder marked by a distinctive port-wine stain on the forehead, scalp, or around the eye.

Answer 5

Sturge-Weber syndrome

Question 6

Treatment for Port Wine Stain

Answer 6

Pulsed Dye Laser

Question 7

Vascular tumor associated with HHV 8; red/violaceous patches and plaques which can progress to nodules; can also involve mucosal, GI, lymph node; often seen in patients with HIV

Answer 7

Kaposi Sarcoma

Question 8

which skin disease is associated with longstanding or poorly-controlled HIV

Answer 8

Kaposi’s sarcoma

Question 9

A vascular malignancy that can be seen on head/neck, areas of lymphedema or previously treated radiation sites; starts with bruise like and may progress to nodules or ulceration; more common in elderly and immunocompromised; rare in kids

Answer 9

Angiosarcoma

Question 10

Benign, rapidly growing, bleeding red papule; common in children/young adults; present on lips, fingers>face, tongue; can occur more often in pregnancy; can be caused by some medications

Answer 10

Pyogenic granuloma

Question 11

What medication can lead to risk of pyogenic granulomas?

Answer 11

Isotretinoin

Question 12

A vascular tumor seen in immunosuppressed patients caused by bartonella henselae infection; bright red papules that resemble pyogenic granulomas but appear in multiple; can disseminate and has multiple organ involvement

Answer 12

Bacillary Angiomatosis

Question 13

A vascular tumor arising from glomus cells (cause contraction of vessels related to temperature control); a single painful papule/nodule under the nail with worsening pain in cold

Answer 13

Glomus tumor

Question 14

If glomus tumor is present on multiple fingers, what diagnosis should be considered?

Answer 14

Neurofibromatosis Type I

Question 15

Multiple glomus tumors grouped together; mutation in glomulin gene (GLMN); autosomal dominant with incomplete penetrance; occur at distal extremities

Answer 15

Glomangioma