Verrucous lymphangioma circumscriptum in a child

Lymphangioma circumscriptum (LC) is characterized by dilation of lymphatic vessels in the skin and subcutaneous tissue. It presents as asymptomatic vesicles filled with lymphatic fluid giving characteristic frog spawn appearance, but does not progress into warty plaque. LC can also be divided into congenital and acquired form. The common sites are axillary folds, shoulder, upper arm, scrotum, penis, rectum, and vulva. It needs to be differentiated from certain common conditions such as herpes zoster, molluscum contagiosum, hemangioma, verruca vulgaris, and angiokeratoma. Surgical modality is the first choice of treatment. A case of a 5-year-old girl having verrucous plaque on the right knee joint diagnosed as LC is presented here