Global Skin Atlas | Diagnosis Detail

Image Number #8691 (Blue Rubber Bleb Nevus)

Diagnosis: Blue Rubber Bleb Nevus

Description:

Compressible purple nodules

Morphology: Nodule,purple

Site: Neck front

Sex: M

Age: 44

Type: Clinical

Submitted By: Ian McColl

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Differential Diagnosis

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History:

44 year old male
presents with soft blue lesions on the chest ,back, upper arms & face
Has had these since teenage years (can't remember if had them as a kid)
His father & older brother both have similar lesions
He is worried as more lesions are cropping up esp on his face & on his lips
His previous GP tried to do Cryotherapy on one of them but "it bled like hell"
On exam these are soft compressible lesions
Dermoscopy shows heamangioma like vascular lesions (sorry no dermoscopy pics)
Dx - Is this Blue Rubber Bleb Naevus Syndrome?(Bean Syndrome)

If yes then how to treat these lesions?
Should I organise GIT endoscopy for any lesions in the GIT that might bleed?

Related Links:
eMedicine on Blue rubber bleb nevus syndrome

Case Comments
This could be the Blue Rubber Bleb nevus syndrome as you say. The lesions are big enough but should be firm "like a rubber nipple" Is there any history of bowel bleeding or anaemia? If so then bowel endoscopy is necessary See this GI reference (Submitted By: Dr Ian McColl)

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Thanks Ian for your comments
Now that you describe the lesions ,the bigger lesions were quit firm & rubbery.
To be honest I had no idea what these were, & read & researched after the patient left.
But he is coming back as I promised to put his case up for comments form my teachers & colleagues
I will let you know the outcome of his investigations when done (Submitted By: Dr Kiran Shahid)

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Final Diagnosis
Possible Blue rubber bleb nevus syndrome , or Venous hemangiomas

I suspect the latter. See this true Blue Rubber Bleb Nevus Case

DermNetNZ eMedicine PubMed Dermatology Online Archives JAAD for "Blue Rubber Bleb Nevus"