A Rare Case of Lymphangioma Circumscriptum

Background: Lymphangiomacircumscriptumis a rare cutaneous lymphaticmal formation that occur especially on children. Lymphangioma account for 4 % of all vascular malformation. This is the third case had been reported in the last 9 years on Department of Dermatology Venereology Dr. M. Djamil Hospital Padang. Case: A case of lymphangioma circumscriptum in 13 years-old male was reported. There were multiple blister on upper left back and left upper arm that not felt itchy or pain that gradually increased in number and size since 6 months ago. Dermatologic state: multiple pinkish to hemorrhagic grouped of vesicles. Diagnosis is lymphangioma circumscriptum. Dermoscopy revealed of multicoloured lacunae, two tone lacunae, hypopyon and a white lines Histopathology showed achantosis and hyperkeratosis and dillated lymphatic channels contain with amorf mass. MRI showed a lymphangioma circumscriptum. Patient was consulted to surgery department for have a wide excision. Discussion: Clinical, dermoscopic, histhopatological and MRI features were describe in this case report in order to be easily recognize LC, because it is a rare case and also optional management of the cutaneous lymphangioma circumscriptum. Management of LC is challenging due to the lack of satisfactory treatments and reccurency.