Hana Paladichuk

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The Diagnosis: Acquired Lymphangioma Circumscriptum A skin biopsy of the plaque on the right labium majus showed a proliferation of well-formed, dilated lymphatic vessels lined by benign-appearing endothelial cells in the papillary dermis (Figure). These findings were consistent with a diagnosis of acquired lymphangioma circumscriptum (ALC) in the setting of severe hidradenitis suppurativa (HS). Image courtesy of Alicia Schnebelen, MD (Dallas, Texas).