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Case Reports
. 2016 Nov-Dec;7(6):533-535.
doi: 10.4103/2229-5178.193912.

Great saphenous vein dilatation with reflux at the saphenofemoral junction: A rare underlying association of eccrine angiomatous hamartoma

Sanjiv Choudhary  1 , Quazi Sabiha  1 , Adarsh Lata Singh  1
Affiliations
Case Reports

Great saphenous vein dilatation with reflux at the saphenofemoral junction: A rare underlying association of eccrine angiomatous hamartoma

Sanjiv Choudhary et al. Indian Dermatol Online J. 2016 Nov-Dec.

Abstract

Eccrine angiomatous hamartoma (EAH) is an exceedingly rare benign tumor-like lesion prevalent in childhood, which can produce pain and marked sweating. Histological features include proliferation of eccrine sweat glands and angiomatous capillary channels. It may be rarely associated with underlying pathological conditions. A 15-year-old female patient presented with multiple tender reddish papules and nodules coalescing to form plaques of 10 × 8 cm over the anterior aspect of the right lower thigh since birth. It was associated with hypertrichosis, hyperhidrosis, pain, and occasional bleeding on trauma. Histopathological examination of the lesion showed increased proliferation of both eccrine and angiomatous channels. Ultrasonography and Color Doppler of the right thigh showed dilatation of the great saphenous vein (GSV) above the right knee, with evidence of grade 3 reflux at saphenofemoral junction. Magnetic resonance imaging revealed large dilated GSV with slow flow and venous malformation in the anterior part of the right knee.

Keywords: Dilated great saphenous vein; eccrine angiomatous hamartoma; saphenofemoral junctional reflux.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Multiple reddish to blue-brown hyperpigmented papules, nodules, and plaques with hypertrichosis over the anterior aspect of the right lower thigh
Figure 2
Figure 2
Benign proliferation of eccrine glands with dilated capillaries filled with red blood cells [H and E, ×40]
Figure 3
Figure 3
(a) Magnetic resonance imaging - large dilated great saphenous vein. (b) Ultrasonography - reflux on valsalva at the saphenofemoral junction
See this image and copyright information in PMC

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