Angioma Serpiginosum Differential Diagnoses

Updated: May 29, 2020
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: William D James, MD  more...
  • Print
DDx

Diagnostic Considerations

Also consider the following:

  • Schamberg disease

  • Majocchi disease

  • Pigmented purpuric lichenoid eruption of Gougerot and Blum

  • Goltz syndrome post-zygotic mosaicism [27]

  • Nevus flammeus [28] (see Capillary Malformation)

  • Unilateral nevoid telangiectasia [15]

Nevus oligemicus is an uncommon hamartoma characterized by selective vasoconstriction of the deep dermal vascular plexus with respect to the superficial one. It is evident as fixed, acquired, asymptomatic, livid, erythematous macules that are cold to touch compared with surrounding skin. [29]

A linear reticulate, reddish-purple plaque on the buttock extending to the popliteal fossa showed a striking resemblance to a vascular lesion and was labelled a reticulate vascular nevus; it was observed in association with a congenital smooth muscle hamartoma. [30]

Pediatric linear scleroderma may have a clinical resemblance to angioma serpiginosum. [31]

Differential Diagnoses