Lymphangiomatosis D18.1

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Multifocal lymphangioendotheliomatosis with thrombocytopenia

Definition
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Congenital or acquired in early childhood angiodysplasia characterized by excessive ectasia of abnormal lymphatic vessels

Manifestation
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Already present at birth or acquired in early childhood.

Localization
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Diffuse skin infestation (trunk and extremities), soft tissue, bones, gastrointestinal tract.

Clinical features
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Very variable image with nodules, cysts, spots as well as extensive, soft to soft-elastic swellings of the grey-blue or brown tinted soft tissue. S.a. Lymphangioma circumscriptum.

Histology
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Holey penetration of the dermis, subcutaneous and subcutaneous fatty tissue through dilated and anastomosing thin-walled vessels reminiscent of Swiss cheese. Endothelia with irregular protrusion (hobnail endothelia). Also detection of papillary protrusions. Pronounced hemosiderin deposits and lymphocytic infiltrates. Extramedullary hematopoiesis possible.

Differential diagnosis
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Complication(s)
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thrombocytopenia, GI bleeding

Literature
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  1. North PE et al (2004) Multifocal lymphangioendotheliomatosis with thrombocytopenia. Arch Dermatol 140: 599-606

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020