A 71-year-old woman, with a personal history of a left radical mastectomy and locoregional radiation therapy for breast cancer 20 years ago, was referred for assessment. She presented secondary chronic upper limb lymphedema and asymptomatic flesh-colored papulovesicles on the left axillary area (Figure 1) that appeared 6 months ago. On dermoscopy, lesions presented well-demarcated red-orange lacunae surrounded by white lines (Figure 2). Histopathology showed multiple ectatic lymphatic vessels in the papillary dermis (Figure 3). Thus, a diagnosis of acquired cutaneous lymphangiectasia was made.
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