We describe a boy who developed a dark brown colored nodule in an area of lymphangioma circumscriptum following repeated local injuries. The nodule showed the clinical and pathologic features of solitary angiokeratoma. It is possible that previous injuries predisposed the lesion to the development of solitary angiokeratoma.

Lymphangiomas are congenital lymphatic malformations. They are clinically characterized by clusters of translucent vesicles, and on dermoscopy, yellow lacunae surrounded by pale septa as well as reddish to bluish lacunae have been described. A young male presented with a seven-year history of a vesicular lesion. Dermoscopy revealed multiple white-yellowish well-circumscribed roundish areas (lac...