Glomeruloid hemangioma is a distinctive vascular tumor first described in 1990 when found to be associated with POEMS syndrome and Castleman disease.[1][2] Glomeruloid hemangiomas can manifest as wine-red sessile or pedunculated papules, papulonodules, subcutaneous bluish compressible tumors, or small, firm, reddish-violaceous, dome-shaped papules.
Signs and symptoms
Glomeruloid hemangiomas can manifest as wine-red sessile or pedunculated papules, papulonodules, subcutaneous bluish compressible tumors, or small, firm, reddish-violaceous, dome-shaped papules.[3] They mostly reside on the trunk and proximal limbs and range in size from a few millimeters to a few centimeters in diameter.[4][5] There have also been rare reports of glomeruloid hemangioma impacting the face.[6][7] There have also been reports of eruptive angiomatous lesions, which resemble eruptive histiocytomas.[8]
Causes
Glomeruloid hemangiomas are most commonly associated with POEMS syndrome, occurring in up to 45% of individuals with POEMS syndrome.[9] Glomeruloid hemangiomas have also been associated with TAFRO syndrome.[10] Rarely glomeruloid hemangiomas can occur in individuals with no systematic conditions.[11]
Diagnosis
The histopathologic examination displays well-defined, dispersed dermal structures in different sizes that have resemblance to renal glomeruli. The central vessel is bigger and has a sinusoidal appearance, and it is surrounded by a network of small capillary vessels on the periphery.[12]
^James, William D.; Elston, Dirk; Treat, James R.; Rosenbach, Misha A.; Neuhaus, Isaac (2020). "28. Dermal and subcutaneous tumors". Andrews' Diseases of the Skin: Clinical Dermatology (13th ed.). Edinburgh: Elsevier. p. 594. ISBN978-0-323-54753-6.
^Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN978-1-4160-2999-1.
^Puig, Lluis; Moreno, Abelardo; Domingo, Pere; Llistosella, Enric; de Moragas, José M. (1985). "Cutaneous angiomas in POEMS syndrome". Journal of the American Academy of Dermatology. 12 (5). Elsevier BV: 961–964. doi:10.1016/s0190-9622(85)70123-5. ISSN0190-9622. PMID3158680.
^Chan, P. T.; Lee, K. C.; Chong, L. Y.; Lo, K. K.; Cheung, Y. F. (2006). "Glomeruloid haemangioma with cerebriform morphology in a patient with POEMS syndrome". Clinical and Experimental Dermatology. 31 (6). Oxford University Press (OUP): 775–777. doi:10.1111/j.1365-2230.2006.02213.x. ISSN0307-6938. PMID17040261.
^Tsai, Chang-Yu; Lai, Chan-Ho; Chan, Heng-Leong; Kuo, Tseng-tong (2001). "Glomeruloid hemangioma –- a specific cutaneous marker of POEMS syndrome". International Journal of Dermatology. 40 (6). Wiley: 403–406. doi:10.1046/j.1365-4362.2001.01246-2.x. ISSN0011-9059. PMID11589746.
^Yang, Seong Gyu; Cho, Kwang Hyun; Bang, Yung-Jue; Kim, Chul Woo (1998). "A Case of Glomeruloid Hemangioma Associated With Multicentric Castleman's Disease". The American Journal of Dermatopathology. 20 (3). Ovid Technologies (Wolters Kluwer Health): 266–270. doi:10.1097/00000372-199806000-00008. ISSN0193-1091. PMID9650700.
Phillips, Julie A.; Dixon, Julie E.; Richardson, Jeffrey B.; Fabre, Vilma C.; Callen, Jeffrey P. (2006). "Glomeruloid hemangioma leading to a diagnosis of POEMS syndrome". Journal of the American Academy of Dermatology. 55 (1). Elsevier BV: 149–152. doi:10.1016/j.jaad.2006.02.036. ISSN0190-9622. PMID16781311.