Abstract
Angioma serpiginosum is a rare benign nevoid disorder affecting the
small vessels of the upper dermis. We are presenting a case of this rare
disease in an 11-year-old girl who presented with multiple progressive
asymptomatic scattered and confluent punctate erythematous to violaceous
macules over the left side of the abdomen in T8-T10 dermatomal
distribution with normal surrounding and intervening skin since birth.
Histopathological examination (HPE) revealed few ectatic congested
thin-walled blood vessels in papillary dermis with few areas of downward
growth of the rete ridges between these blood vessels. Based on the
clinical and the HPE, a diagnosis of angioma serpiginosum was made. This
rare vascular anomaly and abdomen involvement with zosteriform
distribution is rarely reported in the literature.