What Is Your Diagnosis? Recurrent Lobular Capillary Hemangioma With Satellitosis (Warner and Wilson-Jones Syndrome)

An 11-year-old girl presented with a slowly enlarging, 14×15-mm, erythematous, pedunculated papule on the right side of the scapula of 6 to 8 weeks’ duration. The lesion was tender and bled easily. The lesion was biopsied followed by electrodesiccation of the base. The patient presented 8 weeks later with a 7-cm erythematous plaque composed of a central 1-cm fungating nodule surrounded by more than fifty 1- to 2-mm erythematous papules.