Affiliation:
1. Department of Dermatology, Krishna Institute of Medical Sciences, Karad, Maharashtra, India
Abstract
Abstract
Introduction:
Lymphangioma circumscriptum is a “microcytic” lymphatic malformation. Different treatments have been tried with varying success. We report here a case of recurrent lymphangioma circumscriptum who was treated with microneedling radiofrequency (MNRF) and topical preparation or sirolimus cream with good improvement.
Case Report:
A 14-year-old girl presented to outpatient department with a cluster of small asymptomatic blisters over the unilateral inguinal area which on histopathology was confirmed to be lymphangioma circumscriptum. The patient had similar lesions 3 years back which she got surgically excised. Since the last 6 months, she had a recurrence of the similar lesions so this time we chose MNRF every 40 days to treat this case which was combined with topical sirolimus 0.01% during and after the procedure.
Discussion:
MNRF helps in neoelastogenesis and neocollagenosis, which leads to dermal thickening. It also acts as a drug delivery system by creating dermal channels. Sirolimus with its antilymphangiogenic properties helps prevent recurrence.
Reference8 articles.
1. The clinical efficacy and safety of microneedling fractional radiofrequency in the treatment of facial wrinkles: A multicenter study with the INFINI system in 499 patients;Calderhead;Dermatol Surg,2013
2. Microneedle radiofrequency treatment of lymphangioma circumscriptum;Kim;Dermatol Surg,2019
3. A case of microcystic lymphatic malformation successfully treated with topical sirolimus;Çalışkan;Dermatol Ther,2018
4. Treatment of lymphangioma circumscriptum with combined radiofrequency current and 900 nm diode laser;Lapidoth;Dermatol Surg,2006
5. Treatment of lymphangioma circumscriptum with sclerotherapy: An ignored effective remedy;AlGhamdi;J Cosmet Dermatol,2011