AI Article Synopsis
- A 30-year-old man had a weird bump on his pinky toe that looked purple and rough.
- Doctors did X-rays and MRIs, which showed that there was extra soft tissue and some damage to the toe bone.
- They had to remove the toe, and tests showed that the bump was made of blood and lymph vessels, reminding us that even small skin problems can hide bigger issues underneath.
Article Abstract
A 30 year old male presented with a cutaneous lesion on the distal area of the 5th toe with involvement of the outer edges. Macroscopically, it was a 1cm violaceous and keratotic lesion. Radiography showed an increase in soft tissue, possibly due to a vascular lesion. MRI showed a hyper-intense signal with erosion of the distal phalanx compatible with a low-flow vascular malformation. The distal phalanx was amputated. Histopathology revealed a lesion formed by venous and D2-40 positive lymphatic vessels. This case highlights the fact that even minimal skin involvement in vascular malformations may conceal an important deeper lesion, such as erosion of the cortical bone.
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| http://dx.doi.org/10.1016/j.patol.2017.03.004 | DOI Listing |
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