Venous lake
| Venous lake | |
|---|---|
| Classification and external resources | |
| ICD-10 | D18 (ILDS D18.050) |
| DiseasesDB | 31384 |
| eMedicine | derm/451 |
A venous lake (which are also known as "Phlebectases"[1]) is a generally solitary, soft, compressible, dark blue to violaceous, 0.2- to 1-cm papule commonly found on sun-exposed surfaces of the vermilion border of the lip, face and ears.[2][3][4] Lesions generally occur among the elderly.[5][6]
Though these lesions may resemble nodular melanoma, the lack of induration, slow growth, and lightening appearance upon diascopy suggest against it, and indicate a vascular lesion.[7] Additionally, lack of pulsation distinguishes this lesion of the lower lip from a tortuous segment of the inferior labial artery.[4]
Contents |
[edit] Images
[edit] Cause
The cause is unknown; however it is thought to be associated with sun exposure, leading to a dilated blood-filled vascular channel[2] "...lined with a singled layer of flattened endothelial cells and a thin wall of fibrous tissue filled with red blood cells."[7]
[edit] Treatment
[edit] See also
[edit] Footnotes
- ^ James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. Page 588. ISBN 0-7216-2921-0.
- ^ a b Habif, Thomas P. Clinical Dermatology: A Color Guide to Diagnosis and Therapy. Mosby, Inc. 2004. Page 825. ISBN 0-323-01319-8.
- ^ Goldberg, LH; Ar, Altman (1985). "Venous lakes of the ears". Cutis 36 (6): 472–5. PMID 4075841.
- ^ a b Sauer, Gordon. Manual of Skin Diseases. J. B. Lippincott Company. 1985. Page 315. ISBN 0-397-50668-6.
- ^ Kuo, HW; Yang, CH. (2003). "Venous lake of the lip treated with a sclerosing agent: report of two cases". Dermatol Surg. 29 (4): 425–8. doi:10.1046/j.1524-4725.2003.29101.x. PMID 12656828.
- ^ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. pp. 1620. ISBN 1-4160-2999-0.
- ^ a b Wolff and Johnson. Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology. The McGraw-Hill Companies. 2005. Page 192. ISBN 0-07-144019-4.