Giant Lymphangioma Circumscriptum: A Differential of Verrucous Lesions

Lymphangioma circumscriptum (aka superficial lymphatic malformations) occurs due to the abnormal migration of lymphatic tissue that leads to failures in the communication and drainage of the lymphatic system. They usually present as groups of translucent papules and vesicles on the skin or mucous membranes. Its presentation as a giant verrucous crusted plaque on proximal arm in a young female of 16 years duration is unusual and emphasizes the relevance of this case report. Diagnosis of this unusual presentation was confirmed with histopathology. This case is presented here for its rarity, to increase its diagnostic awareness and to exemplify the fact that utmost vigilance and awareness of the entity is required to avoid missing diagnosis and to ensure proper treatment.