doi:10.25251/fggpqw49engBernal Masferrer, LauraGómez Mateo, María del CarmenÁlvarez-Salafranca, MarcialHernández Aragüés, IgnacioGracia Cazaña, TamaraDiffuse dermal angiomatosis in a 53-year-old womanART-2025-148723A 53-year-old woman with a history of arterial hypertension, diabetes mellitus, and morbid obesity presented with abdominal lesions persisting for 3 months and resistant to previous treatment. Physical examination revealed characteristic erythematous-violaceous plaques with serpiginous distribution and central ulceration. Histological examination confirmed diffuse dermal angiomatosis with underlying fat tissue necrosis, a rare association. Diffuse dermal angiomatosis typically affects middle-aged women with cardiovascular risk factors, and treatment involves addressing underlying vascular alterations.2025http://zaguan.unizar.es/record/17020310.25251/fggpqw49http://zaguan.unizar.es/record/170203oai:zaguan.unizar.es:170203Dermatology Online Journal 31, 5 (2025), 6 pp.byhttps://creativecommons.org/licenses/by/4.0/deed.esinfo:eu-repo/semantics/openAccess