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Shet P, Shi VJ, Rajpara A. Diffuse Dermal Angiomatosis of the Breast. Cureus 2024; 16:e64681. [PMID: 39149677 PMCID: PMC11326854 DOI: 10.7759/cureus.64681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/10/2024] [Indexed: 08/17/2024] Open
Abstract
Diffuse dermal angiomatosis (DDA) is a rare, benign cutaneous disorder that can affect the breasts. Typically, it presents in middle-aged women and is increasingly associated with various risk factors that involve tissue hypoxia. We report this case of classical bilateral DDA of the breasts in a 56-year-old female patient. This case highlights the association of DDA with hypoxia-inducing risk factors, such as smoking. Management of the hypoxic risk factors resulted in the resolution of the bilateral ulceration caused by DDA in this patient. This case report aims to discuss the etiology, risk factors, clinical manifestations, and treatment modalities commonly used to manage this condition.
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Affiliation(s)
- Pooja Shet
- Dermatology, University of Missouri-Kansas City School of Medicine, Kansas City, USA
| | - Victoria J Shi
- Dermatology, University of Missouri-Kansas City School of Medicine, Kansas City, USA
| | - Anand Rajpara
- Dermatology, University of Missouri-Kansas City School of Medicine, Kansas City, USA
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Savoie CE, Acosta BS, Davis HJ, Poche GW. Surgical intervention for diffuse dermal angiomatosis of the breast. JAAD Case Rep 2024; 48:77-79. [PMID: 38778895 PMCID: PMC11108791 DOI: 10.1016/j.jdcr.2024.03.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2024] Open
Affiliation(s)
| | | | - Harley J. Davis
- Martha E Stewart MD, LLC, Dermatology, Mandeville, Louisiana
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Lorca-Spröhnle J, Casanova-Esquembre A, Peñuelas-Leal R, Labrandero-Hoyos C, García García JÁ, Alegre-de-Miquel V, Pérez-Ferriols A. Diffuse dermal angiomatosis of the breast: a case report of successful treatment with topical propranolol. Clin Exp Dermatol 2023; 48:1269-1271. [PMID: 37466291 DOI: 10.1093/ced/llad244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Accepted: 08/02/2023] [Indexed: 07/20/2023]
Abstract
We present a notable case of diffuse dermal angiomatosis of the breast (DDAB) in a 92-year-old woman with multiple comorbidities. The patient exhibited rapid and nearly complete resolution of lesions following early topical application of 1% propranolol in cold cream highlighting its potential as an effective treatment option for DDAB.
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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:e496-e498. [PMID: 34716588 DOI: 10.1111/ijd.15959] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 08/12/2021] [Accepted: 10/14/2021] [Indexed: 11/27/2022]
Affiliation(s)
| | | | - Erwin A Kruger
- Department of Surgery, Division of Plastic, Reconstructive, & Hand Surgery, Mayo Clinic, Phoenix, Arizona, USA
| | - David J DiCaudo
- Department of Dermatology, Mayo Clinic, Scottsdale, Arizona, USA
| | - David L Swanson
- Department of Dermatology, Mayo Clinic, Scottsdale, Arizona, USA
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5
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Young KZ, Briones NF, Pedersen EA, Fullen D, Wang F. Diffuse dermal angiomatosis associated with gestational gigantomastia. JAAD Case Rep 2022; 31:49-52. [PMID: 36505035 PMCID: PMC9732114 DOI: 10.1016/j.jdcr.2022.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Kelly Z. Young
- University of Michigan Medical School, Ann Arbor, Michigan
| | - Naomi F. Briones
- Department of Dermatology, University of Michigan, Ann Arbor, Michigan
- Correspondence to: Naomi F. Briones, MD, MAT, Department of Dermatology, University of Michigan Medical School, 1910 Taubman Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109.
| | | | - Douglas Fullen
- Department of Pathology, University of Michigan, Ann Arbor, Michigan
| | - Frank Wang
- Department of Dermatology, University of Michigan, Ann Arbor, Michigan
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Souza BDCE, Souza EPCD, Valente NYS, Sanches JA. Case for diagnosis. Erythematous-violaceous reticulated plaques on the breasts. An Bras Dermatol 2022; 97:243-246. [PMID: 35151518 PMCID: PMC9073310 DOI: 10.1016/j.abd.2021.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 07/20/2021] [Accepted: 07/28/2021] [Indexed: 11/16/2022] Open
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Gambichler T, Stranzenbach R, Mansour R, Lee YP, Doerler M, Stücker M. Diffuse dermal angiomatosis of the breast in a young woman. Clin Exp Dermatol 2021; 47:415-416. [PMID: 34431548 DOI: 10.1111/ced.14904] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/19/2021] [Indexed: 11/30/2022]
Affiliation(s)
- T Gambichler
- Skin Cancer Center, Department of Dermatology, Ruhr-University Bochum, Bochum, Germany
| | - R Stranzenbach
- Skin Cancer Center, Department of Dermatology, Ruhr-University Bochum, Bochum, Germany
| | - R Mansour
- Skin Cancer Center, Department of Dermatology, Ruhr-University Bochum, Bochum, Germany
| | - Y-P Lee
- Skin Cancer Center, Department of Dermatology, Ruhr-University Bochum, Bochum, Germany
| | - M Doerler
- Skin Cancer Center, Department of Dermatology, Ruhr-University Bochum, Bochum, Germany
| | - M Stücker
- Skin Cancer Center, Department of Dermatology, Ruhr-University Bochum, Bochum, Germany
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Azarfar A, Bég S. Diffuse dermal angiomatosis: case report of a distinct skin presentation. Rheumatology (Oxford) 2021; 59:e134-e135. [PMID: 32653908 DOI: 10.1093/rheumatology/keaa311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2020] [Accepted: 05/04/2020] [Indexed: 11/12/2022] Open
Affiliation(s)
- Azin Azarfar
- Department of Internal Medicine, University of Central Florida HCA GME Healthcare
| | - Shazia Bég
- Department of Internal Medicine, University of Central Florida College of Medicine, Orlando, FL, USA
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9
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Diffuse Dermal Angiomatosis: Report of a Classic Case With a Comment on the Pathophysiology Based on the Histologic Findings. Am J Dermatopathol 2021; 42:354-355. [PMID: 31833841 DOI: 10.1097/dad.0000000000001588] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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10
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Diffuse dermal angiomatosis of the breast: an emerging entity in the setting of cutaneous reactive angiomatoses. Clin Dermatol 2020; 39:271-277. [PMID: 34272021 DOI: 10.1016/j.clindermatol.2020.10.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
New and emerging types of cutaneous vascular (capillary) proliferations have been described or better categorized in the last few years. They include reactive angioendotheliomatosis, acroangiodermatitis (pseudo-Kaposi sarcoma), diffuse dermal angiomatosis, intravascular histiocytosis, glomeruloid angioendotheliomatosis, and angiopericytomatosis (angiomatosis with cryoproteins). Clinically, they are characterized by multiple, red violaceous, and purpuric patches and plaques, sometimes evolving toward necrosis and ulceration with a wide distribution but a propensity to involve the extremities. Histologically, they are characterized by different patterns of intravascular or extravascular lobular or diffuse hyperplasia of endothelial cells, pericytes, and sometimes histiocytes. Although these angioproliferations can histologically have a pseudoangiosarcomatous pattern, they are reactive in that they originate from the (sub)occlusion of vascular lumina by different localized or systemic disorders. The vascular proliferation stops after the inducing hypoxic stimulus has been withdrawn. Among them, diffuse dermal angiomatosis of the breast is a variant of diffuse dermal angiomatosis involving middle-aged women with macromastia, obesity, smoking, and vasculopathic disorders, considered a distinct disorder in the spectrum of cutaneous reactive angiomatoses. It presents with reticulated erythematous to purple patches with sometimes a tendency to ulcerate and bleeding, appearing on large, pendulous breasts. The pathogenesis is related to tissue hypoxemia resulting from subclinical torsion, compression, and increased venous hydrostatic pressure due to the macromastia, aggravated by the associated ischemic conditions such as hypertension and diabetes. There is no evidence-based therapy, but reduction mammoplasty is a viable treatment option. This should be evaluated in all patients who fail conservative therapy.
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Frizzell MR, Shah S, Parekh P. Diffuse dermal angiomatosis localized to abdominal striae. Proc (Bayl Univ Med Cent) 2020; 33:419-421. [DOI: 10.1080/08998280.2020.1764324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Revised: 04/25/2020] [Accepted: 04/30/2020] [Indexed: 10/24/2022] Open
Affiliation(s)
| | - Sheevam Shah
- Department of Dermatology, Baylor Scott & White Medical Center – Temple, Temple, Texas
| | - Palak Parekh
- Department of Dermatology, Baylor Scott & White Medical Center – Temple, Temple, Texas
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Nguyen N, Silfvast-Kaiser AS, Frieder J, Zaayman M, Menter A. Diffuse dermal angiomatosis of the breast. Proc (Bayl Univ Med Cent) 2020; 33:273-275. [PMID: 32313486 DOI: 10.1080/08998280.2020.1722052] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Revised: 01/22/2020] [Accepted: 01/23/2020] [Indexed: 10/25/2022] Open
Abstract
Diffuse dermal angiomatosis of the breast can be a painful, irritating, and persistent inflammatory condition. It tends to present in middle age and is associated with a number of risk factors, mainly relating to tissue hypoxia. There are no standard treatment guidelines, and current treatment focuses on mitigating tissue hypoxia by addressing atherosclerosis through lifestyle changes and medical and/or surgical intervention. Herein, we present a case of diffuse dermal angiomatosis of the breast, describing the condition and current treatment approaches and the likelihood that this diagnosis is more common than previously believed.
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Affiliation(s)
| | | | | | - Marcus Zaayman
- Division of Dermatology, Baylor Scott & WhiteDallasTexas
| | - Alan Menter
- Division of Dermatology, Baylor Scott & WhiteDallasTexas
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Matlock SM, Rush JL, Afzal W, Fulton EH, Berney SM, Wong HK. Spontaneous ulcerations of the breast. Clin Exp Dermatol 2019; 45:107-110. [PMID: 30618053 DOI: 10.1111/ced.13895] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/15/2018] [Indexed: 11/29/2022]
Affiliation(s)
- S M Matlock
- Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - J L Rush
- Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - W Afzal
- Department ofRheumatology and Immunology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - E H Fulton
- Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - S M Berney
- Department ofRheumatology and Immunology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - H K Wong
- Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
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