Unusual and rare presentation of multiple lobular capillary hemangiomas

Abstract

We present the case of a 60-year-old woman who presented with multiple lobular capillary hemangiomas. Lobular capillary hemangioma is a vascular lesion composed of proliferating capillaries in a loose stroma. It is due to proliferating small blood vessels coming through a breach in the epidermis. This hypervascularized lesion grows rapidly, frequently presenting as a hemorrhagic, red to purple, sessile or pedunculated mass. The epidermis forms a collarette at the base of the lesion and covers part or whole of the lesion in a thin layer. The prevalence of lobular capillary hemangioma is commonly seen in individuals below the age of 30, but in our case, the patient is a sexagenarian. The clinical presentation of the nodule is whitish which is rare as compared to reddish hue routinely. The distribution of the lesions over the left shoulder, the right side of abdomen and the centre of the back were considered unique as compared to the limbs and neck where they are documented frequently.