Poikilodermatous plaque-like hemangioma (PPLH) is an acquired vascular proliferation first described in 2019, and fewer than 20 cases have been reported to date. Clinically, PPLH presents as an asymptomatic, slow-growing, erythematous or violaceous atrophic plaque with variable scale. It is usually found on the lower extremities and most commonly presents as a single lesion; however, multiple lesions have been observed. The original series noted a strong male predominance. PPLH most commonly appears in the fifth decade or later.

The cause of PPLH is not known.

In the reported cases, lesions tended to persist and remained stable in size for up to 6 years.