Part 2 book “Color atlas of cosmetic dermatology” has contents: Cherry and spider angiomas, granuloma faciale, granuloma faciale, pyogenic granuloma, keratosis pilaris atrophicans, infantile hemangioma, basal cell carcinoma, striae distensae, squamous cell carcinoma, dermatosis papulosa nigra, and other contents. | S IX Vasc u l a r A l te rat i o n s 1 68 I Color Atlas of Cosmetic Dermatology CHAPT E R 29 Angio ke rato m a Angioke ratomas a re te la ngiectasias with keratotic ele ments . They present i n d i ffe rent c l i n ical scena rios i n c l u d i n g ( a ) solitary or m u lt i p l e a ngioke ratomas occ urring p red o m i n a ntly on lower extre m ities; ( b) a ngiokeratoma of Fordyce affecti n g the sc rotu m a n d the vu lva ; ( c ) a ngiok e ratom a of M i be l l i , a n a utoso m a l d o m i n a nt d isorder affecti n g d o rs u m of h a n d s a n d feet, e l bows, a n d knees; (d) a ngiokerato ma corporis d iffus u m associated with Fa bry's d isease, an X- l i n ked recessive d isord e r c h a rac terized by lactosidase-A d eficie ncy and affecting the lowe r a bd o m e n , buttoc ks, a n d ge n ita l ia ; a n d ( e ) a ngioke ratoma c i rc u mscri ptu m usua l ly grou ped on one extre m ity. E P I D E M I O LOGY Age: solita ry o r m u ltiple a ngiokeratomas u s u a l l y affect you n g a d u lts , a ngiokeratomas of Fordyce affect m i d d le aged and elderly i n d ivid u a l s . Angioke ratoma of M i be l l i a n d a ngioke rato ma c i rc u msc r i ptu m a re u s u a l l y d iag n osed in c h i l d h ood . Sex: a ngiokeratoma of M i be l l i a nd a ngioke ratoma c i r c u mscri pt u m exh i bit fem a l e pred o m i na nce. Otherwise, there is no sex pred is position . PHYS I CAL EXAM I NAT I O N R ed t o violaceous, we l l - c i rc u m sc r i bed hyperke ratotic pa p u les a n d p l a q ue s . A D I F F E R E N T I A L D I AG N OS ES Sol ita ry lesions ca n be m ista ken for mela noma , a cq u i red hemangioma, lym p ha ngio m a , seborrheic ke ratos is, a n d wa rts . LABORATORY DATA • D e r m atopat h o l ogy M a rked d i lated , t h i n -wa l l ed blood vesse ls in the pa p i l l a ry d e r m i s , associated with an overlying acanthotic hyperker atotic epidermis. COU RS E MANAG E M ENT B M a nagement o f a ngiokeratomas rema
