Acquired lymphangiectasis associated with a surgery scar from a congenital hemangioma

Acquired lymphangiectasis (AL) occurs due to the blockage of deep lymphatic vessels. The latter is responsible for dilated dermal lymphatic channels that can induce superficial vesicle formation. The development of AL occurs secondarily in the areas of the skin affected by the destruction and/or obstruction of lymphatic drainage. No specific histological criteria can be used to differentiate primary lymphangioma circumscriptum from AL, the only difference being the early onset and the lack of external acquired causes in lympangioma circuscriptum. We report an 11-year-old girl with a 10year history of translucent thick-walled vesicles, which were clinically diagnosed as AL. To our knowledge, there are no previous reports of AL associated with a surgery scar from a congenital hemangioma.