Diffuse dermal angiomatosis in a 53-year-old woman

Authors

  • Laura Bernal Masferrer Department of Dermatology, Hospital Universitario Miguel Servet, IIS Aragon, Zaragoza University, Zaragoza, Spain Author
  • María del Carmen Gómez Mateo Department of Pathology, Hospital Universitario Miguel Servet, Zaragoza, Spain Author
  • Marcial Álvarez-Salafranca Department of Dermatology, Hospital Universitario Miguel Servet, IIS Aragon, Zaragoza University, Zaragoza, Spain Author
  • Ignacio Hernández Aragüés Department of Dermatology, Hospital Universitario Miguel Servet, IIS Aragon, Zaragoza University, Zaragoza, Spain Author
  • Tamara Gracia Cazaña Department of Dermatology, Hospital Universitario Miguel Servet, IIS Aragon, Zaragoza University, Zaragoza, Spain Author

DOI:

https://doi.org/10.25251/fggpqw49

Keywords:

diffuse dermal angiomatosis, peripheral arterial disease, peripheral vascular disease, striae

Abstract

A 53-year-old woman with a history of arterial hypertension, diabetes mellitus, and morbid obesity presented with abdominal lesions persisting for 3 months and resistant to previous treatment. Physical examination revealed characteristic erythematous-violaceous plaques with serpiginous distribution and central ulceration. Histological examination confirmed diffuse dermal angiomatosis with underlying fat tissue necrosis, a rare association. Diffuse dermal angiomatosis typically affects middle-aged women with cardiovascular risk factors, and treatment involves addressing underlying vascular alterations.

References

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2. Frikha F, Boudaya S, Abid N, Garbaa S, Sellami T, et al. Diffuse dermal angiomatosis of the breast with adjacent fat necrosis: A case report and review of the literature. Dermatol Online J. 2018;24. [PMID: 30142739].

3. Garcia-Colmenero L, Martin-Ezquerra G, Gomez-Martin I, Joan MM, Barranco C, et al. Persistent cutaneous abdominal ulcerations secondary to diffuse dermal angiomatosis: an underestimated sign for severe atherosclerosis: A case report. Medicine. 2016;95(29). [PMID: 27442644].

4. Costello CM, Qureshi MQ, Kruger EA, DiCaudo DJ, Swanson DL. Diffuse dermal angiomatosis of the bilateral breast successfully treated with reduction mammoplasty. Int J Dermatol. 2022;61:96–8. [PMID: 34716588].

5. Frizzell MR, Shah S, Parekh P. Diffuse dermal angiomatosis localized to abdominal striae. Proc (Bayl Univ Med Cent). 2020;33:419. [PMID: 32675971].

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Published

11/14/2025

Issue

Vol. 31 No. 5 (2025): Dermatology Online Journal

Section

Case Report / Case Series

License

Copyright (c) 2025 Laura Bernal Masferrer, María del Carmen Gómez Mateo, Marcial Álvarez-Salafranca, Ignacio Hernández Aragüés, Tamara Gracia Cazaña (Author)

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.