Open AccessMultiple capillary hemangiomas: A distinctive lesion of multicentric <i>Castleman's disease</i> and POEMS syndrome
Author(s) -
Rachita Misri,
Vidya Kharkar,
Ameet Dandale,
Vidula Patel,
Sunanda Mahajan,
Uday S Khopkar
Publication year - 2008
Publication title -
indian journal of dermatology, venereology, and leprology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.514
H-Index - 45
eISSN - 0973-3922
pISSN - 0378-6323
DOI - 10.4103/0378-6323.42910
Subject(s) - medicine , castleman disease , papule , histopathology , pelvis , pathology , capillary hemangioma , radiology , asymptomatic , abdomen , lesion , hemangioma , disease
A diagnosed case of Castleman's disease, proven by biopsy from enlarged inguinal lymph nodes, presented with multiple, asymptomatic, erythematous papules and nodules prevalent since nine years over the trunk and extremities. The lesions had been gradually increasing in number and size. The patient had had plasmacytoma of the lower thoracic vertebra 12 years ago, for which he was adequately treated with chemotherapy and local radiotherapy. Dermatological examination revealed erythematous papules and nodules on the face, trunk, and extremities that were diagnostic of capillary hemangiomas. Histopathology of the erythematous, soft papule was suggestive of capillary hemangioma. Contrast-enhanced computerized tomography of the abdomen and pelvis showed multiple retroperitoneal nodes suggestive of Castleman's disease along with multiple osteolytic lesions in the pelvic girdle and vertebrae. The patient was treated with injection rituximab and is currently under follow-up. We report this case to highlight a rare association between Castleman's disease and POEMS syndrome.