Acquired cutaneous lymphangiectasias are dilated superficial dermal lymphatics occurring due to obstruction of deeper lymphatics resulting in failure of downstream drainage.There are various causes which may contribute to the obstruction of deep lymphatics such as trauma, surgery, radiation, various infections and even malignancies . This rarely involves vulva.

We encountered three cases who presented with multiple, raised lesions over genitals and were diagnosed with lymphangiectasia based on the history and clinical examination. Histopathological examination confirmed our diagnosis.

Case 1: A 61-year-old woman presented with multiple, oozy, raised lesions with occasional itching over genitalia since one year. Four years back, she was diagnosed to have Stage IIA carcinoma cervix for which she underwent radical hysterectomy followed by loco-regional radiotherapy.

Case 2: A 45 year old presented with fluid filled lesions over genitals for 1 month associated with burning sensation. She also presented with skin erythema and burning sensation over right thigh associated with fever. Patient gave history of similar episodes in the past suggestive of recurrent erysipelas.

Case 3: A 27 year old woman came to the OPD with complaints of multiple raised lesions over genitals for 1 month. She was a post natal mother who had underwent LSCS 1 week back.

Dermoscopy was performed in one of the caseswhichshowed clustered, translucent, reddish-white lacunae surrounded by whitish septawhich are typical patterns of lymphangiectasia. We also found a new dermoscopic pattern of few lacunae showing hairpin and arborizing vessels, which has not been reported earlier. Radiofrequency ablation was done in all cases and they showed significant improvement.