A 12-year-old, healthy, black girl of Ethiopian origin, was referred
to us because of the presence of several lesions on the vulva, which had
developed gradually over the previous few years. On examination, several
dark colored lesions with a vesicular appearance were present on the vulva
(Fig. 1). A biopsy of
a skin lesion revealed dilated tortuous blood vessels in the mid- and
upper dermis (Fig. 2).